Mr Mark J Diercks, MD | |
1111 North 13th Street, Suite 207, Omaha, NE 68102-4251 | |
(402) 348-1996 | |
(402) 348-1879 |
Full Name | Mr Mark J Diercks |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 43 Years |
Location | 1111 North 13th Street, 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 |
---|---|---|---|
1134283567 | NPI | - | NPPES |
47068181100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 16137 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi Health Immanuel | Omaha, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alegent Creighton Health | 1850285255 | 111 |
Entity Name | Alegent Health Immanuel Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427133917 PECOS PAC ID: 9133038698 Enrollment ID: O20031117000516 |
Entity Name | Alegent Creighton Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033288923 PECOS PAC ID: 1850285255 Enrollment ID: O20040326000802 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark J Diercks, MD 1111 North 13th Street, Suite 207, Omaha, NE 68102-4251 Ph: (402) 348-1996 | Mr Mark J Diercks, MD 1111 North 13th Street, Suite 207, Omaha, NE 68102-4251 Ph: (402) 348-1996 |
Dr. David Berman Walker, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10625 Calhoun Rd, Omaha, NE 68112 Phone: 402-457-1300 Fax: 402-457-1403 | |
Dr. Abhishek Singh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6901 N 72nd St, Omaha, NE 68122 Phone: 402-717-0070 | |
Dr. Srinivas Dannaram, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Creighton Nebraska, Department Of Psychiatry 985582, Omaha, NE 68198 Phone: 402-552-6244 | |
Albert Matthew Dickan, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7710 Mercy Rd Ste 202, Omaha, NE 68124 Phone: 402-280-4195 | |
Nicole J Bergerson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9239 W Center Rd, Suite 225, Omaha, NE 68124 Phone: 402-505-9550 Fax: 402-614-3414 | |
Ho Taik Sung, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7710 Mercy Road, Suite 202, Cu Department Of Psychiatry, Omaha, NE 68124 Phone: 402-280-4195 | |
Michael L Meyer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9239 West Center Rd, Suite 205, Omaha, NE 68124 Phone: 402-354-8080 Fax: 402-354-8044 |