| Dr Diva Viteare Wilson, MD | |
|
102 W Gruenther Rd, Gretna, NE 68028-4828 | |
| (402) 332-2772 | |
| (402) 332-5446 |
| Full Name | Dr Diva Viteare Wilson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 102 W Gruenther Rd, Gretna, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821595877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33607 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | MD-48710 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Creighton University Medical Center - B | Omaha, NE | Hospital |
| Chi Health Mercy Council Bluffs | Council bluffs, IA | Hospital |
| Chi Health Midlands | Papillion, NE | Hospital |
| Chi Health Lakeside | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alegent Creighton Clinic | 1951210418 | 951 |
| Alegent Creighton Clinic | 1951210418 | 951 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diva Viteare Wilson, MD 102 W Gruenther Rd, Gretna, NE 68028-4828 Ph: (402) 332-2772 | Dr Diva Viteare Wilson, MD 102 W Gruenther Rd, Gretna, NE 68028-4828 Ph: (402) 332-2772 |
Derek Logan Marshall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 |
Carmella N Imig, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 Fax: 402-332-5446 |
Dr. Ryan Bruce Isherwood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11946 Standing Stone Dr, Gretna, NE 68028 Phone: 402-815-4500 Fax: 402-815-4510 |
William Lowndes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Highway 370, Gretna, NE 68028 Phone: 402-332-2772 |
Karen S Staack, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 Fax: 402-332-5446 |
Kathleen A Archer, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11820 Standing Stone Dr, Gretna, NE 68028 Phone: 402-332-3903 Fax: 402-391-3076 |