Family Ear Nose & Throat Clinic Pc is a medicare enrolled "Otolaryngology" provider in Omaha, Nebraska. Their current practice location is
6751 N 72nd St, Suite 207, Omaha, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(402) 572-3165.
Family Ear Nose & Throat Clinic Pc is licensed to practice in Nebraska (license number 14446) and it also participates in the medicare program. Family Ear Nose & Throat Clinic Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1750487427.
Healthcare Provider's Profile
| Full Name | Family Ear Nose & Throat Clinic Pc |
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| Type | Facility |
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| Speciality | Otolaryngology |
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| Location | 6751 N 72nd St, Omaha, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750487427
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698770576
- Enrollment ID: O20060927000537
Medical Identifiers
Medical identifiers for Family Ear Nose & Throat Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750487427 | NPI | - | NPPES |
| 06552 | Other | IA | MEDICARE GROUP PTAN |
| 065520002 | Other | IA | AUDIOLOGIST-RUTH FARRINGTON PTAN |
| DG0847 | Other | | RAILROAD MEDICARE LEGACY GROUP PTAN |
| 263505 | Other | NE | MEDICARE INDIVIDUAL PTAN FOR DR. PAUL SHERRERD |
| 040001751 | Other | | RAILROAD MEDICARE INDIVIDUAL PTAN |
| 098004 | Other | NE | MEDICARE GROUP PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 221 (Nebraska) | Secondary |
| 207Y00000X | Otolaryngology | 14446 (Nebraska) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Family Ear Nose & Throat Clinic Pc acts as a billing entity for following providers:
| Provider Name | Ruth Cecelia Farrington |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1346307618
PECOS PAC ID: 0648341743
Enrollment ID: I20080617000684 |
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| Provider Name | Paul S Sherrerd |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1649274218
PECOS PAC ID: 3072577253
Enrollment ID: I20080825000580 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Family Ear Nose & Throat Clinic Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Family Ear Nose & Throat Clinic Pc
6751 N 72nd St, Suite 207,
Omaha, NE 68122-1746
Ph: (402) 572-3165 | Family Ear Nose & Throat Clinic Pc
6751 N 72nd St, Suite 207,
Omaha, NE 68122-1746
Ph: (402) 572-3165 |
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