| Sancta Familia Medical Apostolate | |
|
10506 Burt Cir Omaha NE 68114-2094 | |
| (402) 991-3393 | |
| (402) 991-3390 |
| Full Name | Sancta Familia Medical Apostolate |
|---|---|
| Speciality | Family Medicine |
| Location | 10506 Burt Cir, Omaha, Nebraska |
| Authorized Official Name and Position | Lloyd A Pierre (PRESIDENT) |
| Authorized Official Contact | 4029913393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sancta Familia Medical Apostolate 10506 Burt Cir Omaha NE 68114-2094 Ph: (402) 991-3393 | Sancta Familia Medical Apostolate 10506 Burt Cir Omaha NE 68114-2094 Ph: (402) 991-3393 |
| NPI Number | 1497051015 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Medicare PECOS PAC ID | 4284817727 |
|---|---|
| Medicare Enrollment ID | O20110322000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497051015 | NPI | - | NPPES |
| Provider Name | Casandra M Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558432807 PECOS PAC ID: 5496668188 Enrollment ID: I20080519000663 |
| Provider Name | Teresa A Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902984800 PECOS PAC ID: 1254409329 Enrollment ID: I20081003000092 |
| Provider Name | Lloyd A Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417007162 PECOS PAC ID: 6901975861 Enrollment ID: I20100108000317 |
| Provider Name | Peter R Demarco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841307782 PECOS PAC ID: 6305989393 Enrollment ID: I20100129000265 |
| Provider Name | Michael J Dulac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174699102 PECOS PAC ID: 5799968236 Enrollment ID: I20110322000391 |
| Provider Name | Angelina M Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851829154 PECOS PAC ID: 2668744889 Enrollment ID: I20170823003035 |
| Provider Name | Jordan Danielle Radel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801498282 PECOS PAC ID: 9032502299 Enrollment ID: I20220210001773 |
| Provider Name | Amberly Wagner-connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093385148 PECOS PAC ID: 4880052497 Enrollment ID: I20230614000378 |
| Provider Name | Jessica Elizabeth Mowrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447931787 PECOS PAC ID: 9335583699 Enrollment ID: I20240215000341 |
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