Michael Omomo, | |
8640 Eagle Creek Cir, Savage, MN 55378-4400 | |
(651) 600-2567 | |
Not Available |
Full Name | Michael Omomo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 8640 Eagle Creek Cir, Savage, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427657139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7837 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
River Valley Behavioral Health And Wellness Center, Llc | 3678625035 | 9 |
Entity Name | River Valley Behavioral Health & Wellness Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316197148 PECOS PAC ID: 3678625035 Enrollment ID: O20090715000482 |
Entity Name | Ralphvan Healthcare Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467233759 PECOS PAC ID: 1153779293 Enrollment ID: O20231129002630 |
Mailing Address | Practice Location Address |
---|---|
Michael Omomo, 8640 Eagle Creek Cir, Savage, MN 55378-4400 Ph: () - | Michael Omomo, 8640 Eagle Creek Cir, Savage, MN 55378-4400 Ph: (651) 600-2567 |
Janette Sue Sorensen, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9411 Woodridge Ct, Savage, MN 55378 Phone: 952-233-7233 | |
Olivia Grayson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8640 Eagle Creek Cir, Savage, MN 55378 Phone: 952-746-7664 | |
Dr. Julius Miranyi Nyamao, DNP APRN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6350 W 143rd St Ste 200, Savage, MN 55378 Phone: 952-428-1010 Fax: 952-428-1005 | |
Jessica Wettlin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8640 Eagle Creek Cir, Savage, MN 55378 Phone: 952-746-7664 | |
Danielle Mckenzie Drake, APRN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6350 W 143rd St Ste 200, Savage, MN 55378 Phone: 952-428-1010 Fax: 952-428-1005 |