| Mr Justin Gerhard Madson, MD | |
|
8601 West Dodge Rd., Ste #240, Omaha, NE 68114 | |
| (402) 933-0800 | |
| (531) 721-2918 |
| Full Name | Mr Justin Gerhard Madson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 20 Years |
| Location | 8601 West Dodge Rd., Omaha, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528217395 | NPI | - | NPPES |
| OK403917 | Other | OK | MEDICARE INDIVIDUAL PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 27129 (Oklahoma) | Secondary |
| 207N00000X | Dermatology | 26614 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Dermatology Clinic, P.c. | 7315952900 | 7 |
| Entity Name | Midwest Dermatology Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568442572 PECOS PAC ID: 7315952900 Enrollment ID: O20060220000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Gerhard Madson, MD 2323 S. 171 Street, Ste #102, Omaha, NE 68130 Ph: (402) 933-0800 | Mr Justin Gerhard Madson, MD 8601 West Dodge Rd., Ste #240, Omaha, NE 68114 Ph: (402) 933-0800 |
Jose William Ricardo Soto, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 985645 Nebraska Medical Center, Omaha, NE 68198 Phone: 402-552-7928 | |
Dr. Ronald John Sulewski Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4014 Leavenworth St, Omaha, NE 68105 Phone: 402-552-7928 | |
Megan Leeann Walsh, MD Dermatology Medicare: Medicare Enrolled Practice Location: 8534 Cass St, Omaha, NE 68114 Phone: 402-955-6445 | |
Tomas Huerta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16120 W Dodge Rd, Omaha, NE 68118 Phone: 402-354-0670 Fax: 402-354-0675 | |
Mr. John R Luckasen, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4242 Farnam St, Ste 360, Omaha, NE 68131 Phone: 402-552-2555 Fax: 402-552-2573 | |
David J Watts, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 909 N 96th St, Suite 201, Omaha, NE 68114 Phone: 402-330-4555 Fax: 402-934-0945 | |
Dr. Sara Elizabeth West, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 909 N 96th St, Omaha, NE 68114 Phone: 402-330-4555 Fax: 402-330-4626 |