| Yms Pc | |
|
5370 S 84th Street Suite A Omaha NE 68127-3774 | |
| (402) 390-0555 | |
| (402) 926-4793 |
| Full Name | Yms Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5370 S 84th Street Suite A, Omaha, Nebraska |
| Authorized Official Name and Position | Yvonne M Stephenson (DOCTOR/OWNER) |
| Authorized Official Contact | 4023900555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yms Pc 11011 Q St Ste 104b Omaha NE 68137-3700 Ph: (402) 390-0555 | Yms Pc 5370 S 84th Street Suite A Omaha NE 68127-3774 Ph: (402) 390-0555 |
| NPI Number | 1255880027 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/19/2018 |
| Medicare PECOS PAC ID | 4789972100 |
|---|---|
| Medicare Enrollment ID | O20161018000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255880027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yvonne Marjorie Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497849475 PECOS PAC ID: 7416848296 Enrollment ID: I20050310000952 |
| Provider Name | Deanna M Kaup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780163824 PECOS PAC ID: 4587913306 Enrollment ID: I20180827003495 |
| Provider Name | Tara Leigh Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629849328 PECOS PAC ID: 2769820265 Enrollment ID: I20240403001443 |
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