| Dr Johanna M Missak, MD | |
|
1721 Colfax St, Schuyler, NE 68661-1400 | |
| (402) 352-3745 | |
| Not Available |
| Full Name | Dr Johanna M Missak |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1721 Colfax St, Schuyler, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508170663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27612 (Nebraska) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Rosebud Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johanna M Missak, MD Po Box 642117, Omaha, NE 68164-8117 Ph: (402) 398-6254 | Dr Johanna M Missak, MD 1721 Colfax St, Schuyler, NE 68661-1400 Ph: (402) 352-3745 |
Dr. Usha Kiran Kanthety, M.B.B.S Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 Colfax St, Schuyler, NE 68661 Phone: 402-352-3745 | |
Thomas Wong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1721 Colfax St, Schuyler, NE 68661 Phone: 402-352-3745 Fax: 402-352-8750 | |
Christina M Cassel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 Colfax St, Schuyler, NE 68661 Phone: 402-352-3745 | |
Dr. Saravana K Balaraman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 Colfax St, Schuyler, NE 68661 Phone: 402-352-3745 Fax: 402-352-8750 | |
John Jackson Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 Colfax St, Schuyler, NE 68661 Phone: 402-352-3745 |