| Meditelecare Of Nebraska, Llc | |
|
5601 S 59th St Lincoln NE 68516 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Nebraska, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5601 S 59th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Teresa P Trojanowski (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Nebraska, Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Nebraska, Llc 5601 S 59th St Lincoln NE 68516 Ph: (860) 788-6404 |
| NPI Number | 1316446875 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 2567724511 |
|---|---|
| Medicare Enrollment ID | O20180403000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316446875 | NPI | - | NPPES |
| Provider Name | Marie Bissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922393776 PECOS PAC ID: 2668650011 Enrollment ID: I20110707000156 |
| Provider Name | Amarachi Chika Ogbonnaya-akpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386038024 PECOS PAC ID: 9436461266 Enrollment ID: I20150707002527 |
| Provider Name | Rebecca M Beardsley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023153889 PECOS PAC ID: 3375823065 Enrollment ID: I20161215001842 |
| Provider Name | Glenna Rae Tolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254816 PECOS PAC ID: 8628141355 Enrollment ID: I20190709000519 |
| Provider Name | Belinda Deone Tyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225310881 PECOS PAC ID: 8527220862 Enrollment ID: I20190805000880 |
| Provider Name | Theodore Joseph Dickens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306197603 PECOS PAC ID: 8325328768 Enrollment ID: I20191001001101 |
| Provider Name | Amanda Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063723716 PECOS PAC ID: 8921132366 Enrollment ID: I20200902001545 |
| Provider Name | Chelsea Elizabeth Twiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881172377 PECOS PAC ID: 3870996689 Enrollment ID: I20210818000681 |
| Provider Name | Omiana Ajibade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598124190 PECOS PAC ID: 4981992740 Enrollment ID: I20210908001866 |
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