Mr Brett Van Kettelhut, MD | |
2808 S 80 Ave, Ste 210, Omaha, NE 68124-3253 | |
(402) 391-1800 | |
(402) 391-1563 |
Full Name | Mr Brett Van Kettelhut |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 42 Years |
Location | 2808 S 80 Ave, 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 |
---|---|---|---|
1538151204 | NPI | - | NPPES |
47060801504 | Medicaid | NE | |
47060801514 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | 21408 (Nebraska) | Secondary |
207K00000X | Allergy & Immunology | 21408 (Nebraska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Father Flanagans Boys Home | 9638165400 | 70 |
Entity Name | Father Flanagans Boys Home |
---|---|
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 |
---|---|
Mr Brett Van Kettelhut, MD 2808 S 80 Ave, Ste 210, Omaha, NE 68124-3253 Ph: (402) 391-1800 | Mr Brett Van Kettelhut, MD 2808 S 80 Ave, Ste 210, Omaha, NE 68124-3253 Ph: (402) 391-1800 |
Sara Michelle May, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Emile 42nd St, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-8715 | |
Mr. Roger Hiro Kobayashi, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2808 S 80 Ave, Ste 210, Omaha, NE 68124 Phone: 402-391-1800 Fax: 402-391-1563 | |
Dr. Againdra K Bewtra, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St Ste 5730, Omaha, NE 68131 Phone: 402-280-4403 | |
Dr. Jaine Brownell, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 16945 Frances St, Omaha, NE 68130 Phone: 402-397-7400 Fax: 402-397-0115 | |
Joel Kent Van De Graaff, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-8715 | |
Dr. Teodoro Segura, MD, PHD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 16945 Frances St, Omaha, NE 68130 Phone: 402-397-7400 Fax: 402-397-0115 |