Dr Zachary Tomulty Gustin, MD | |
16120 W Dodge Rd, Omaha, NE 68118-2049 | |
(402) 354-0707 | |
(402) 354-0909 |
Full Name | Dr Zachary Tomulty Gustin |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 16 Years |
Location | 16120 W Dodge Rd, Omaha, Nebraska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700053337 | NPI | - | NPPES |
47068731798 | Medicaid | NE | |
10026450100 | Medicaid | NE | |
1700053337 | Medicaid | IA | |
47068731751 | Medicaid | NE | |
47068731742 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | A112799 (California) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 28647 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Nebraska Methodist Hospital | Omaha, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Clinic Inc | 4880506062 | 505 |
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 Zachary Tomulty Gustin, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Dr Zachary Tomulty Gustin, MD 16120 W Dodge Rd, Omaha, NE 68118-2049 Ph: (402) 354-0707 |
Mr. Stuart Gordon Oxford, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 8309 Cass St, Omaha, NE 68114 Phone: 402-397-8891 Fax: 402-397-8892 | |
Andrew S. Lee, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14863 Ellison Cir, Omaha, NE 68116 Phone: 402-354-4000 | |
Christopher W. Anderson, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 N 175th St Ste 2000, Omaha, NE 68118 Phone: 402-559-8600 Fax: 402-596-4410 | |
Dr. Wesley L. Smeal, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 17021 Lakeside Hills Dr., Ste 200, Omaha, NE 68130 Phone: 847-631-5664 | |
Ms. Angela Pugh, A Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 12020 Pacific St, Omaha, NE 68154 Phone: 800-259-0287 | |
Kristine S. Oleson, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 6901 N 72nd St, Omaha, NE 68122 Phone: 402-572-2295 | |
Matthew Gregory Hahn, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2725 S 144th St Ste 212, Omaha, NE 68144 Phone: 402-637-0800 Fax: 402-637-0808 |