Stanley E Okosun, MD | |
2300 S 16th St, Lincoln, NE 68502-3704 | |
(402) 328-8833 | |
(402) 328-2921 |
Full Name | Stanley E Okosun |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 2300 S 16th St, Lincoln, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316107444 | NPI | - | NPPES |
200634870A | Medicaid | KS | |
P00739812 | Other | NE | RAILROAD MEDICARE |
N/A | Medicaid | IA | |
47077696002 | Medicaid | NE | |
10025037900 | Medicaid | NE | |
13914 | Other | NE | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25144 (Nebraska) | Primary |
2086S0102X | Surgery - Surgical Critical Care | 25144 (Nebraska) | Secondary |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Stanley E Okosun, MD Po Box 67250, Lincoln, NE 68506-7250 Ph: (402) 328-8833 | Stanley E Okosun, MD 2300 S 16th St, Lincoln, NE 68502-3704 Ph: (402) 328-8833 |
Kelly Johnson Krier, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 S 70th St Ste 100, Lincoln, NE 68510 Phone: 402-441-4760 Fax: 402-441-4764 | |
Sara Elizabeth Hargreaves, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S 48th St, Ste 400, Lincoln, NE 68506 Phone: 402-481-8500 Fax: 402-481-8501 | |
Dr. Edmundo Rivera, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4740 A St, Suite 100, Lincoln, NE 68510 Phone: 402-483-7825 Fax: 402-483-7839 | |
Logan Mcguffey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5500 Pine Lake Rd, Lincoln, NE 68516 Phone: 402-489-8888 Fax: 402-421-1945 | |
Zijun Hao, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4740 A St, Suite 100, Lincoln, NE 68510 Phone: 402-483-7825 Fax: 402-483-7839 | |
Dr. John S Fallick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 S 70th St, Suite 100, Lincoln, NE 68510 Phone: 402-483-4292 Fax: 402-483-4735 | |
Dr. Jordan David Bowling, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 S 70th St Ste 435, Lincoln, NE 68510 Phone: 402-730-0706 |