| Atlas Medical Nebraska Llc | |
|
8214 F St Ste C Omaha NE 68127-1740 | |
| (402) 331-2273 | |
| (402) 933-4255 |
| Full Name | Atlas Medical Nebraska Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8214 F St Ste C, Omaha, Nebraska |
| Authorized Official Name and Position | Gregory Mangum (CEO) |
| Authorized Official Contact | 4355145646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Medical Nebraska Llc 8214 F St Ste C Omaha NE 68127-1740 Ph: (402) 331-2273 | Atlas Medical Nebraska Llc 8214 F St Ste C Omaha NE 68127-1740 Ph: (402) 331-2273 |
| NPI Number | 1104666536 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 2769917145 |
|---|---|
| Medicare Enrollment ID | O20241121003051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104666536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela Don Tripple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376505016 PECOS PAC ID: 8729017538 Enrollment ID: I20050811000311 |
| Provider Name | Benjamin Skiles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841869997 PECOS PAC ID: 3870994114 Enrollment ID: I20210624001544 |
| Provider Name | Deanna Leigh Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336799071 PECOS PAC ID: 5698200087 Enrollment ID: I20241121003427 |
| Provider Name | Sarah Katherine Smith Pandl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548707474 PECOS PAC ID: 1759816150 Enrollment ID: I20241121003625 |
| Provider Name | Sarah Noble Frost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750109401 PECOS PAC ID: 0749715167 Enrollment ID: I20241121004719 |
| Provider Name | Heather Lynne Gunderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922827955 PECOS PAC ID: 9537694971 Enrollment ID: I20241122000833 |
| Provider Name | Jennifer Marie Kanter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821817842 PECOS PAC ID: 4789119132 Enrollment ID: I20241122001014 |
| Provider Name | Jenna Michael Bahney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346893583 PECOS PAC ID: 9537694716 Enrollment ID: I20241125002435 |
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