| Lincoln Aesthetic & Reconstructive Surgery Pc | |
|
2222 S 16th St Ste 300 Lincoln NE 68502-3785 | |
| (402) 435-0044 | |
| Not Available |
| Full Name | Lincoln Aesthetic & Reconstructive Surgery Pc |
|---|---|
| Speciality | Plastic Surgery |
| Location | 2222 S 16th St Ste 300, Lincoln, Nebraska |
| Authorized Official Name and Position | Mitchell Henry (PRESIDENT/OWNER) |
| Authorized Official Contact | 4024350044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Aesthetic & Reconstructive Surgery Pc 2222 S 16th St Ste 300 Lincoln NE 68502-3785 Ph: (402) 435-0044 | Lincoln Aesthetic & Reconstructive Surgery Pc 2222 S 16th St Ste 300 Lincoln NE 68502-3785 Ph: (402) 435-0044 |
| NPI Number | 1356772420 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 11/27/2013 |
| Medicare PECOS PAC ID | 4183852544 |
|---|---|
| Medicare Enrollment ID | O20140109000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356772420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5504 (Nebraska) | Secondary |
| 208200000X | Plastic Surgery | 18887 (Nebraska) | Primary |
| Provider Name | Mitchell J Henry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215927181 PECOS PAC ID: 5799753430 Enrollment ID: I20040921000688 |
Lincoln Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504 Phone: 402-476-1500 Fax: 402-476-1510 | |
Dental Professionals Of Nebraska, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5640 South St Ste 1, Lincoln, NE 68506 Phone: 402-489-0787 | |
Williamsburg Dental Piedmont Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 S Cotner Blvd, Lincoln, NE 68510 Phone: 402-420-2222 | |
Rallis & Bonilla Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3256 Salt Creek Cir, Lincoln, NE 68504 Phone: 402-730-6838 | |
Edgewood Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5310 S 56th St Ste 3, Lincoln, NE 68516 Phone: 402-423-2900 Fax: 402-423-2907 | |
Gateway Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 770 N Cotner Blvd Ste 202, Lincoln, NE 68505 Phone: 402-434-2360 Fax: 402-434-2361 | |
Drew B. Attanasio, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 S 70th St, Suite 201, Lincoln, NE 68510 Phone: 402-483-1101 |