| Andrew John Blazek, MD | |
|
111 S 90th St, Omaha, NE 68114-3907 | |
| (402) 397-9800 | |
| Not Available |
| Full Name | Andrew John Blazek |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 111 S 90th St, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881259489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 36256 (Nebraska) | Primary |
| 208800000X | Urology | MD-52875 (Iowa) | Secondary |
| Entity Name | Unmc Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
| Entity Name | Urology Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114919875 PECOS PAC ID: 2961396833 Enrollment ID: O20040614001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew John Blazek, MD 111 S 90th St, Omaha, NE 68114-3907 Ph: (402) 397-9800 | Andrew John Blazek, MD 111 S 90th St, Omaha, NE 68114-3907 Ph: (402) 397-9800 |
Dr. Patrick B Leu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 S 90th St, Omaha, NE 68114 Phone: 402-397-9800 Fax: 402-397-7591 | |
Dr. Harvey A Konigsberg, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 111 S 90th St, Omaha, NE 68114 Phone: 402-397-9800 Fax: 402-397-7591 | |
Dr. Jennifer Dwyer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 984110 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4284 | |
Michael P Feloney, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7710 Mercy Rd Ste 1000, Omaha, NE 68124 Phone: 402-717-2500 Fax: 402-717-2525 | |
Caleb S Miller, MD Urology Medicare: Medicare Enrolled Practice Location: 10707 Pacific St Ste 101, Omaha, NE 68114 Phone: 402-397-7989 Fax: 402-393-7554 | |
Stefanie L Bolte, Urology Medicare: Accepting Medicare Assignments Practice Location: 10707 Pacific St, Suite 101, Omaha, NE 68114 Phone: 402-397-7989 Fax: 402-393-7554 | |
Janae Pauly, Urology Medicare: Not Enrolled in Medicare Practice Location: 984110 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4292 |