Kersten Borer, Limhp,cmsw, Ladc | |
7602 Pacific St Suite 304 Omaha NE 68114-5428 | |
(402) 496-9966 | |
Not Available |
Full Name | Kersten Borer, Limhp,cmsw, Ladc |
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Speciality | Counselor |
Location | 7602 Pacific St, Omaha, Nebraska |
Authorized Official Name and Position | Susie Romanik (BILLING SUPERVISOR) |
Authorized Official Contact | 4024969966 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kersten Borer, Limhp,cmsw, Ladc 7602 Pacific St Suite 304 Omaha NE 68114-5428 Ph: (402) 496-9966 | Kersten Borer, Limhp,cmsw, Ladc 7602 Pacific St Suite 304 Omaha NE 68114-5428 Ph: (402) 496-9966 |
NPI Number | 1265980817 |
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Provider Enumeration Date | 09/13/2016 |
Last Update Date | 09/13/2016 |
Medicare PECOS PAC ID | 1759679319 |
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Medicare Enrollment ID | O20161013002213 |
Identifier | Type | State | Issuer |
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1265980817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 1045 (Nebraska) | Primary |
Provider Name | Kersten R Borer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063449395 PECOS PAC ID: 7618072547 Enrollment ID: I20070420000237 |
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