Dr Mohan R Mysore, MD | |
8200 Dodge St, Childrens Hospital - Critical Care, Omaha, NE 68114-4113 | |
(402) 955-4226 | |
(402) 955-3262 |
Full Name | Dr Mohan R Mysore |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 8200 Dodge St, 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 |
---|---|---|---|
1346290657 | NPI | - | NPPES |
8938 | Other | MIDLANDS CHOICE | |
0909416 | Medicaid | IA | |
32104 | Other | NE | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 20575 (Nebraska) | Primary |
Entity Name | Father Flanagans Boys Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohan R Mysore, MD 8200 Dodge St, Childrens Hospital, Omaha, NE 68114-4113 Ph: (402) 955-5400 | Dr Mohan R Mysore, MD 8200 Dodge St, Childrens Hospital - Critical Care, Omaha, NE 68114-4113 Ph: (402) 955-4226 |
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 |