Mariah Davis, MD | |
2501 Capehart Rd, Offutt Afb, NE 68113-1043 | |
(402) 294-6077 | |
Not Available |
Full Name | Mariah Davis |
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Gender | Female |
Speciality | Pediatrics |
Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780046730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2018003022 (Missouri) | Secondary |
208000000X | Pediatrics | 32054 (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 |
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Mariah Davis, MD 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-6077 | Mariah Davis, MD 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-6077 |
Dr. Lee David Williames, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-232-2273 | |
Dr. Marc Nicholas Boggy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-8581 | |
Dr. William Ryan Toth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 400-294-6077 | |
Dr. Shirley Lynn Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mdg, 2501 Capehart Rd, Offutt Afb, NE 68112 Phone: 402-294-2448 | |
Eric Michael Sherman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-8581 | |
Dr. Raegan Leigh Austin, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-232-2273 |