| Omaha Neurological Clinic Inc | |
|
10020 Nicholas Street Suite 202 Omaha NE 68114 | |
| (402) 393-2023 | |
| (402) 393-3244 |
| Full Name | Omaha Neurological Clinic Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10020 Nicholas Street, Omaha, Nebraska |
| Authorized Official Name and Position | Nicole M Liebentritt (PRESIDENT) |
| Authorized Official Contact | 4023932023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omaha Neurological Clinic Inc 10020 Nicholas Street Suite 202 Omaha NE 68114-2188 Ph: (402) 393-2023 | Omaha Neurological Clinic Inc 10020 Nicholas Street Suite 202 Omaha NE 68114 Ph: (402) 393-2023 |
| NPI Number | 1215030531 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1759323769 |
|---|---|
| Medicare Enrollment ID | O20050531000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215030531 | NPI | - | NPPES |
| C02009 | Other | NE | RAILROAD MEDICARE |
| 01907 | Other | NE | BCBS OF NE |
| 0938977 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Nebraska) | Primary |
| Provider Name | Nicole M Liebentritt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336161470 PECOS PAC ID: 0143263863 Enrollment ID: I20050603000629 |
| Provider Name | Hakam M Asaad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871603241 PECOS PAC ID: 0143311803 Enrollment ID: I20070809000375 |
| Provider Name | Bernadette A Hughes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902820574 PECOS PAC ID: 7416058318 Enrollment ID: I20100104000697 |
| Provider Name | John M Hannam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487678694 PECOS PAC ID: 5395893457 Enrollment ID: I20100825000753 |
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