| Neurology Consultants Of Nebraska Pc | |
|
4242 Farnam St Suite 500 Omaha NE 68131-2806 | |
| (402) 552-2650 | |
| (402) 552-2655 |
| Full Name | Neurology Consultants Of Nebraska Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4242 Farnam St, Omaha, Nebraska |
| Authorized Official Name and Position | Pamela M Santamaria (PRESIDENT) |
| Authorized Official Contact | 4025522650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Consultants Of Nebraska Pc 4242 Farnam St Suite 500 Omaha NE 68131-2806 Ph: (402) 552-2650 | Neurology Consultants Of Nebraska Pc 4242 Farnam St Suite 500 Omaha NE 68131-2806 Ph: (402) 552-2650 |
| NPI Number | 1811941073 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 4385685387 |
|---|---|
| Medicare Enrollment ID | O20050519000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811941073 | NPI | - | NPPES |
| 10025242300 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Pamela M Santamaria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083693287 PECOS PAC ID: 1456392455 Enrollment ID: I20050520000114 |
| Provider Name | Scott H Goodman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265434443 PECOS PAC ID: 2769584077 Enrollment ID: I20090611000452 |
| Provider Name | Chad Whyte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427222959 PECOS PAC ID: 0648323592 Enrollment ID: I20110725000629 |
| Provider Name | Jonathan F Moravek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578672523 PECOS PAC ID: 4789659277 Enrollment ID: I20140205001078 |
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