Dr Justin Lee Makovicka, MD | |
222 N 192nd St, Elkhorn, NE 68022-5363 | |
(402) 390-4111 | |
(402) 390-4115 |
Full Name | Dr Justin Lee Makovicka |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 222 N 192nd St, Elkhorn, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144676966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 54622 (Arizona) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 54622 (Arizona) | Primary |
Entity Name | Md West One, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588616767 PECOS PAC ID: 0446228852 Enrollment ID: O20050221000184 |
Mailing Address | Practice Location Address |
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Dr Justin Lee Makovicka, MD 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 Ph: (402) 390-4111 | Dr Justin Lee Makovicka, MD 222 N 192nd St, Elkhorn, NE 68022-5363 Ph: (402) 390-4111 |
Kayvon Izadi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 192nd St, Elkhorn, NE 68022 Phone: 402-390-4111 Fax: 402-390-4115 | |
Dr. Jon Charles Uggen, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 192nd St, Elkhorn, NE 68022 Phone: 402-390-4111 Fax: 402-390-4115 | |
Michael Anthony Delcore, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 192nd St, Elkhorn, NE 68022 Phone: 402-390-4111 Fax: 402-390-4115 | |
Mark A Pitner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 192nd St, Elkhorn, NE 68022 Phone: 402-390-4111 Fax: 402-390-4115 | |
Kathleen Marie Grier, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 192nd St Ste 305, Elkhorn, NE 68022 Phone: 402-390-4111 Fax: 402-390-4115 | |
Dr. Hsueh-yu Wesley Cheng, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 192nd St, Elkhorn, NE 68022 Phone: 402-390-4111 Fax: 402-390-4115 |