Fernando E Correa, M.d., A Professional Corporation | |
4828 S 24th St Omaha NE 68107-2703 | |
(402) 731-9100 | |
(402) 731-1297 |
Full Name | Fernando E Correa, M.d., A Professional Corporation |
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Speciality | Family Medicine |
Location | 4828 S 24th St, Omaha, Nebraska |
Authorized Official Name and Position | Fernando E Correa (PRESIDENT) |
Authorized Official Contact | 4027319100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fernando E Correa, M.d., A Professional Corporation 4828 S 24th St Omaha NE 68107-2703 Ph: (402) 731-9100 | Fernando E Correa, M.d., A Professional Corporation 4828 S 24th St Omaha NE 68107-2703 Ph: (402) 731-9100 |
NPI Number | 1891139507 |
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Provider Enumeration Date | 04/24/2013 |
Last Update Date | 05/07/2013 |
Medicare PECOS PAC ID | 4981843950 |
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Medicare Enrollment ID | O20130624000393 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891139507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18632 (Nebraska) | Primary |
Provider Name | Fernando E Correa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790765766 PECOS PAC ID: 1254346851 Enrollment ID: I20060220000117 |
Provider Name | Priscilla M Correa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306826375 PECOS PAC ID: 9931114535 Enrollment ID: I20060220000146 |
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