Collaborative Care Associates Pc | |
3410 N 140th St Omaha NE 68164-5400 | |
(402) 317-6491 | |
Not Available |
Full Name | Collaborative Care Associates Pc |
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Speciality | Hospitalist |
Location | 3410 N 140th St, Omaha, Nebraska |
Authorized Official Name and Position | Tamara Doehner (OWNER) |
Authorized Official Contact | 4023176491 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Collaborative Care Associates Pc 3410 N 140th St Omaha NE 68164-5400 Ph: (402) 317-6491 | Collaborative Care Associates Pc 3410 N 140th St Omaha NE 68164-5400 Ph: (402) 317-6491 |
NPI Number | 1750877510 |
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Provider Enumeration Date | 07/05/2018 |
Last Update Date | 07/16/2020 |
Medicare PECOS PAC ID | 1052669280 |
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Medicare Enrollment ID | O20180806000122 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750877510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
Provider Name | Tamara A Doehner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336195379 PECOS PAC ID: 7315915519 Enrollment ID: I20040923001198 |
Provider Name | Lori B Brunner Buck |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649298225 PECOS PAC ID: 1052310513 Enrollment ID: I20061211000153 |
Provider Name | Heidi B Oconnell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083020457 PECOS PAC ID: 8123244373 Enrollment ID: I20140723001862 |
Provider Name | Kristin Elizabeth Markel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588050116 PECOS PAC ID: 1658680749 Enrollment ID: I20151012000247 |
Provider Name | Karen J Hollinger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194981456 PECOS PAC ID: 4385933688 Enrollment ID: I20160510000370 |
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