| Midwest Regional Health Services Llc | |
|
2727 S 144th St Ste 280 Omaha NE 68144-5252 | |
| (402) 745-1145 | |
| (833) 985-0140 |
| Full Name | Midwest Regional Health Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2727 S 144th St Ste 280, Omaha, Nebraska |
| Authorized Official Name and Position | Kenneth L Blad (M.D./CEO) |
| Authorized Official Contact | 4027451145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Regional Health Services Llc 2727 S 144th St Ste 280 Omaha NE 68144-5252 Ph: (402) 745-1145 | Midwest Regional Health Services Llc 2727 S 144th St Ste 280 Omaha NE 68144-5252 Ph: (402) 745-1145 |
| NPI Number | 1831125418 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 2567454564 |
|---|---|
| Medicare Enrollment ID | O20040331000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831125418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jennifer Jo Buescher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558399360 PECOS PAC ID: 8224015581 Enrollment ID: I20040914001099 |
| Provider Name | Donald J Darst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771978 PECOS PAC ID: 5597723155 Enrollment ID: I20041229000354 |
| Provider Name | Kenneth L Blad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285609685 PECOS PAC ID: 5193860740 Enrollment ID: I20100306000197 |
| Provider Name | Marjorie S Bisenius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992731574 PECOS PAC ID: 7810032463 Enrollment ID: I20100306000208 |
| Provider Name | Tobias A Shinaut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760695506 PECOS PAC ID: 4385778042 Enrollment ID: I20100817000504 |
| Provider Name | Ryan K Biga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134486822 PECOS PAC ID: 0345471405 Enrollment ID: I20150819006548 |
| Provider Name | Diedra A Thies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790135481 PECOS PAC ID: 2062705338 Enrollment ID: I20160725000592 |
| Provider Name | Marena N Kleine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083152664 PECOS PAC ID: 8921377763 Enrollment ID: I20170710003012 |
| Provider Name | Shannon K Dunning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699483388 PECOS PAC ID: 6608239116 Enrollment ID: I20230831001494 |
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