| Dr John C Andresen, MD | |
|
18018 Burke Street, Elkhorn, NE 68022-4417 | |
| (402) 573-7337 | |
| (402) 614-2314 |
| Full Name | Dr John C Andresen |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 18018 Burke Street, Elkhorn, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376635904 | NPI | - | NPPES |
| 239187 | Other | NE | MIDLANDS CHOICE |
| 10025373200 | Medicaid | NE | |
| 994 | Other | NE | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 22078 (Nebraska) | Primary |
| Entity Name | Village Pointe Pediatrics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447471610 PECOS PAC ID: 3678671351 Enrollment ID: O20070604000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John C Andresen, MD Po Box 31582, Omaha, NE 68131-0582 Ph: (402) 573-7337 | Dr John C Andresen, MD 18018 Burke Street, Elkhorn, NE 68022-4417 Ph: (402) 573-7337 |
Mrs. Jennifer Ann Davey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke St, Elkhorn, NE 68022 Phone: 402-573-7337 Fax: 402-614-2314 | |
Dr. Kurt A Davey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 | |
Kimberly Deanne Christner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 Fax: 402-614-2314 | |
Ms. Mary C Dek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 | |
Jennifer Catherine Reiser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 717 N 190th Plz, Elkhorn, NE 68022 Phone: 402-815-1325 Fax: 402-815-1965 | |
Hayley Mignonne Timm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20011 Manderson St, Elkhorn, NE 68022 Phone: 402-955-7840 | |
Sterling Garnell Blackham, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 717 N 190th Plz Ste 3100, Elkhorn, NE 68022 Phone: 402-815-1325 Fax: 402-815-2020 |