| David Gerard Owen, MD | |
|
615 West 39th Street, Kearney, NE 68845-8001 | |
| (308) 865-2277 | |
| (308) 865-2523 |
| Full Name | David Gerard Owen |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 615 West 39th Street, Kearney, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356331094 | NPI | - | NPPES |
| 00076 | Other | NE | BCBS |
| 47077661913 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 20991 (Nebraska) | Primary |
| Entity Name | Ent Physicians Of Kearney Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992795629 PECOS PAC ID: 3678551439 Enrollment ID: O20040709000263 |
| Mailing Address | Practice Location Address |
|---|---|
| David Gerard Owen, MD 615 West 39th Street, Kearney, NE 68845-8001 Ph: (308) 865-2277 | David Gerard Owen, MD 615 West 39th Street, Kearney, NE 68845-8001 Ph: (308) 865-2277 |
Thomas Vernon Connely, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 615 West 39th Street, Kearney, NE 68845 Phone: 308-865-2277 Fax: 308-865-2523 | |
Dr. Michael Joseph Klinginsmith, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 615 W 39th St, Kearney, NE 68845 Phone: 308-865-2277 Fax: 308-865-2523 | |
Matthew Stephen Johnson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 615 W 39th St, Kearney, NE 68845 Phone: 308-865-2277 Fax: 308-865-2523 |