Dr Elizabeth A Walenz, MD | |
10060 Regency Cir, Omaha, NE 68114-3732 | |
(400) 235-4132 | |
(402) 354-1301 |
Full Name | Dr Elizabeth A Walenz |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10060 Regency Cir, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306898903 | NPI | - | NPPES |
10025837400 | Medicaid | NE | |
1306898903 | Medicaid | IA | |
47068731742 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 46311 (Wisconsin) | Secondary |
208000000X | Pediatrics | 23702 (Nebraska) | Primary |
Entity Name | Physicians Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
Mailing Address | Practice Location Address |
---|---|
Dr Elizabeth A Walenz, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Dr Elizabeth A Walenz, MD 10060 Regency Cir, Omaha, NE 68114-3732 Ph: (400) 235-4132 |
Dr. Amanda Marshall, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-2292 | |
Makenzie Grant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 983040 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-8501 | |
Dr. Karen D. Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4224 S 50th St, Omaha, NE 68117 Phone: 402-733-3444 Fax: 402-731-0790 | |
John D Kugler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-4350 Fax: 402-955-4356 | |
Margarita Dickey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3353 L St, Omaha, NE 68107 Phone: 402-354-7700 Fax: 402-354-7710 | |
Dr. Herbert Oladele Davies, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-2666 Fax: 402-559-2677 | |
Dr. Cicero M. Calderon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16909 Q St, Omaha, NE 68135 Phone: 402-955-7575 Fax: 402-955-7555 |