Shane K Kohl, MD | |
8303 Dodge St, Omaha, NE 68114-4108 | |
(402) 354-4540 | |
(402) 354-4535 |
Full Name | Shane K Kohl |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 21 Years |
Location | 8303 Dodge St, 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 |
---|---|---|---|
1013105899 | NPI | - | NPPES |
MD00048195 | Other | WA | MEDICAL LICENSE |
1013105899 | Medicaid | IA | |
24106 | Other | NE | MEDICAL LICENSE |
47037660422 | Medicaid | NE |
Facility Name | Location | Facility Type |
---|---|---|
The Nebraska Methodist Hospital | Omaha, NE | Hospital |
Methodist Fremont Health | Fremont, NE | Hospital |
Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
Montgomery County Memorial Hospital | Red oak, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nebraska Methodist Hospital | 6901707447 | 115 |
Methodist Fremont Health | 7911258520 | 71 |
Jennie Edmundson Memorial Hospital | 9537064837 | 43 |
Entity Name | Nebraska Methodist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689628372 PECOS PAC ID: 6901707447 Enrollment ID: O20040116000781 |
Entity Name | Methodist Fremont Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110 |
Mailing Address | Practice Location Address |
---|---|
Shane K Kohl, MD Po Box 2797, Omaha, NE 68103-2797 Ph: (402) 354-4230 | Shane K Kohl, MD 8303 Dodge St, Omaha, NE 68114-4108 Ph: (402) 354-4540 |
Audrey J Lazenby, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4186 Fax: 402-559-6018 | |
Stanley J Radio, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4186 Fax: 402-559-6018 | |
Christine Petricek Hans, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4540 Fax: 402-354-4535 | |
Dr. Diana L Nevins, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4540 Fax: 402-354-4535 | |
Dr. Marc R Hapke, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 909 N 96th St, Suite 201, Omaha, NE 68114 Phone: 402-330-4555 Fax: 402-934-0945 | |
Bryan Scott Teruya, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4101 Woolworth Ave, Department Of Pathology, Omaha, NE 68105 Phone: 402-995-3218 |