| Doctors For Senior Health Pc | |
|
18011 Oak Street Unit 18011a Omaha NE 68130 | |
| (402) 502-9454 | |
| (402) 505-8209 |
| Full Name | Doctors For Senior Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18011 Oak Street, Omaha, Nebraska |
| Authorized Official Name and Position | David G Sharp (PRESIDENT) |
| Authorized Official Contact | 4027585800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors For Senior Health Pc 18011 Oak St Ste A Omaha NE 68130-6057 Ph: (402) 435-1400 | Doctors For Senior Health Pc 18011 Oak Street Unit 18011a Omaha NE 68130 Ph: (402) 502-9454 |
| NPI Number | 1821003294 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/23/2020 |
| Medicare PECOS PAC ID | 9032112792 |
|---|---|
| Medicare Enrollment ID | O20060818000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821003294 | NPI | - | NPPES |
| 10025412100 | Medicaid | NE | |
| 30696 | Other | NE | BLUE CROSS BLUE SHIELD |
| DF0233 | Other | NE | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | David G Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932117470 PECOS PAC ID: 4880624972 Enrollment ID: I20050818000283 |
| Provider Name | Valerie L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821508219 PECOS PAC ID: 1557622610 Enrollment ID: I20180306001431 |
| Provider Name | Leanne Grover Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730648759 PECOS PAC ID: 1759618903 Enrollment ID: I20190809001896 |
| Provider Name | David G Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932117470 PECOS PAC ID: 4880624972 Enrollment ID: I20210315001438 |
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