Mary Jo Hanigan M.d., P.c. | |
6910 Pacific St Ste 100 Omaha NE 68106-1044 | |
(402) 504-3707 | |
(402) 504-3714 |
Full Name | Mary Jo Hanigan M.d., P.c. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 6910 Pacific St Ste 100, Omaha, Nebraska |
Authorized Official Name and Position | Mary Jo Hanigan (M.D.) |
Authorized Official Contact | 4025043707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mary Jo Hanigan M.d., P.c. 6910 Pacific St Ste 100 Omaha NE 68106-1044 Ph: (402) 504-3707 | Mary Jo Hanigan M.d., P.c. 6910 Pacific St Ste 100 Omaha NE 68106-1044 Ph: (402) 504-3707 |
NPI Number | 1770801789 |
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Provider Enumeration Date | 05/14/2010 |
Last Update Date | 07/24/2024 |
Certification Date | 07/24/2024 |
Medicare PECOS PAC ID | 6305978321 |
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Medicare Enrollment ID | O20100709000444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770801789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Mary Jo Hanigan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306906326 PECOS PAC ID: 2668504697 Enrollment ID: I20100709000465 |
Provider Name | Robert W Lundholm |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356627244 PECOS PAC ID: 8123292661 Enrollment ID: I20111121000057 |
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