| Lisa Patrick, | |
|
515 N 162nd Ave Ste 102, Omaha, NE 68118-2540 | |
| (402) 397-6600 | |
| Not Available |
| Full Name | Lisa Patrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 515 N 162nd Ave Ste 102, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356017446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 68469 (Nebraska) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 113700 (Nebraska) | Primary |
| Entity Name | Mid-city Ob-gyn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578817 PECOS PAC ID: 3779527585 Enrollment ID: O20050613001196 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Patrick, 16533 Timberlane Dr, Omaha, NE 68136-3077 Ph: (308) 940-0132 | Lisa Patrick, 515 N 162nd Ave Ste 102, Omaha, NE 68118-2540 Ph: (402) 397-6600 |
Jacqueline Maria Sellner, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13609 California Street, Suite 200, C/o Aureus Medical Group, Omaha, NE 68154 Phone: 800-856-6385 | |
Carrie L Hovey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4920 S 30th St, Suite 103, Omaha, NE 68107 Phone: 402-734-4110 Fax: 402-734-3990 | |
Ms. Gloria Kokes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2429 M St, Omaha, NE 68107 Phone: 402-731-7333 Fax: 402-614-5405 | |
Angela Salazar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 S 30th St Ste 103, Omaha, NE 68107 Phone: 402-734-4110 Fax: 402-734-3990 | |
Sandra M Cayler, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2126 N 117th Ave, Omaha, NE 68164 Phone: 402-934-1617 Fax: 402-934-5228 | |
Nicole M Shaffer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7710 Mercy Rd Ste 224, Omaha, NE 68124 Phone: 402-717-0880 Fax: 402-717-6068 | |
Olivia B Tedesco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7500 Mercy Rd, Omaha, NE 68124 Phone: 402-398-6014 Fax: 402-398-6983 |