Thomas W Frederickson, MD | |
7500 Mercy Rd, Omaha, NE 68124-2319 | |
(402) 343-4328 | |
Not Available |
Full Name | Thomas W Frederickson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 7500 Mercy Rd, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295728368 | NPI | - | NPPES |
100293960B | Medicaid | KS | |
110199606 | Other | MO | RR MCR |
P00652380 | Other | KS | RR MCR |
738529 | Other | FIRST HEALTH | |
100293960D | Medicaid | KS | |
208471714 | Medicaid | MO | |
2292243 | Other | AETNA | |
23432040 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 04-26524 (Kansas) | Secondary |
207R00000X | Internal Medicine | 108755 (Missouri) | Secondary |
207R00000X | Internal Medicine | 26061 (Nebraska) | Primary |
Entity Name | Alegent Creighton Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817 |
Mailing Address | Practice Location Address |
---|---|
Thomas W Frederickson, MD 7500 Mercy Rd, Omaha, NE 68124-2319 Ph: (855) 524-4001 | Thomas W Frederickson, MD 7500 Mercy Rd, Omaha, NE 68124-2319 Ph: (402) 343-4328 |
Dr. Marium Ilahi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7710 Mercy Rd, Suite 426, Omaha, NE 68124 Phone: 402-717-3636 Fax: 402-717-5050 | |
Dr. Vidhya Murukesan, M.B.,B.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 N 30th St, Creighton University - Gme, Omaha, NE 68131 Phone: 402-280-5250 | |
Matthew John Kapalis, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Mercy Rd, Omaha, NE 68124 Phone: 402-398-6255 Fax: 402-398-6255 | |
Abbie K Ray-deering, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17500 Burke St, Omaha, NE 68118 Phone: 402-354-2360 Fax: 402-354-2440 | |
Dr. Elizabeth Rini Schnaubelt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-5581 | |
Dr. Lauren C Licitra, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 42 Nd And Emile St, Omaha, NE 68198 Phone: 402-559-4000 | |
Dr. Jeffrey Scott Bunsness, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 982055 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-7738 Fax: 402-559-9385 |