Gerinet Of Nebraska Pc | |
14301 Fnb Pkwy Ste 100 Omaha NE 68154-7200 | |
(888) 789-9585 | |
Not Available |
Full Name | Gerinet Of Nebraska Pc |
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Speciality | General Practice |
Location | 14301 Fnb Pkwy Ste 100, Omaha, Nebraska |
Authorized Official Name and Position | Hyong Kim (OWNER) |
Authorized Official Contact | 8887899585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gerinet Of Nebraska Pc 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: () - | Gerinet Of Nebraska Pc 14301 Fnb Pkwy Ste 100 Omaha NE 68154-7200 Ph: (888) 789-9585 |
NPI Number | 1154002533 |
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Provider Enumeration Date | 07/27/2023 |
Last Update Date | 07/27/2023 |
Medicare PECOS PAC ID | 3971046384 |
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Medicare Enrollment ID | O20240613002268 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154002533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Orlando Collado |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20240613002471 |
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