Jennifer Catherine Reiser, MD | |
717 N 190th Plz, Elkhorn, NE 68022-3974 | |
(402) 815-1325 | |
(402) 815-1965 |
Full Name | Jennifer Catherine Reiser |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 717 N 190th Plz, 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 |
---|---|---|---|
1134326572 | NPI | - | NPPES |
1134326572 | Medicaid | IA | |
47068731742 | Medicaid | NE | |
10025837400 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5652 (Nebraska) | Secondary |
208000000X | Pediatrics | 25591 (Nebraska) | Primary |
Entity Name | Physicians Clinic Inc |
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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 |
---|---|
Jennifer Catherine Reiser, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Jennifer Catherine Reiser, MD 717 N 190th Plz, Elkhorn, NE 68022-3974 Ph: (402) 815-1325 |
Dr. Kurt A Davey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 | |
Kimberly Deanne Christner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 Fax: 402-614-2314 | |
Ms. Mary C Dek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 | |
Hayley Mignonne Timm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20011 Manderson St, Elkhorn, NE 68022 Phone: 402-955-7840 | |
Dr. Thomas M Byrne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 | |
Dr. John C. Andresen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 Fax: 402-614-2314 |