Maurice Ellis Blackbird, APRN, FNP-BC | |
100 Indian Hills Dr, Macy, NE 68039-3023 | |
(402) 837-5381 | |
(402) 837-5303 |
Full Name | Maurice Ellis Blackbird |
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Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 100 Indian Hills Dr, Macy, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821861840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 114952 (Nebraska) | Primary |
Entity Name | Omaha Tribe Of Nebraska |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114922143 PECOS PAC ID: 4981664406 Enrollment ID: O20050309001036 |
Mailing Address | Practice Location Address |
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Maurice Ellis Blackbird, APRN, FNP-BC Po Box 213, Rosalie, NE 68055-0213 Ph: (712) 635-5459 | Maurice Ellis Blackbird, APRN, FNP-BC 100 Indian Hills Dr, Macy, NE 68039-3023 Ph: (402) 837-5381 |
Dr. Jackie L Kuchta, DNP FNP-C BC-ADM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Indian Hills Dr, Macy, NE 68039 Phone: 402-837-5381 Fax: 402-837-5381 | |
Mrs. Holli Surber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Indian Hills Dr, Macy, NE 68039 Phone: 402-837-5381 Fax: 402-837-5070 | |
Trisha Marie Harms, ARNP FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Indian Hills Dr, Macy, NE 68039 Phone: 402-837-5381 | |
Ashleen Lee Blackbird, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Indian Hills Dr, Macy, NE 68039 Phone: 402-837-5381 Fax: 402-837-5303 | |
Traci Lyn Jenkins, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Indian Hills Drive, Macy, NE 68039 Phone: 402-837-5381 Fax: 402-837-5303 |