| Dr Justin James De Grado, MD, MS | |
|
7710 Mercy Rd Ste 1000, Omaha, NE 68124-2323 | |
| (402) 717-2500 | |
| (402) 717-2525 |
| Full Name | Dr Justin James De Grado |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 20 Years |
| Location | 7710 Mercy Rd Ste 1000, 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 |
|---|---|---|---|
| 1982888228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD-54647 (Iowa) | Secondary |
| 208800000X | Urology | 36801 (Nebraska) | Primary |
| 208800000X | Urology | C131145 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Grossmont Hospital | La mesa, CA | Hospital |
| Chi Health Immanuel | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Urology Consultants, P.c. | 8820341399 | 5 |
| Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753281 PECOS PAC ID: 9739092388 Enrollment ID: O20031110000404 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696 |
| Entity Name | United Urology Consultants, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295210029 PECOS PAC ID: 8820341399 Enrollment ID: O20181030002896 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin James De Grado, MD, MS 7261 Mercy Rd, Omaha, NE 68124-2311 Ph: () - | Dr Justin James De Grado, MD, MS 7710 Mercy Rd Ste 1000, Omaha, NE 68124-2323 Ph: (402) 717-2500 |
Dr. Patrick B Leu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 S 90th St, Omaha, NE 68114 Phone: 402-397-9800 Fax: 402-397-7591 | |
Dr. Harvey A Konigsberg, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 111 S 90th St, Omaha, NE 68114 Phone: 402-397-9800 Fax: 402-397-7591 | |
Dr. Jennifer Dwyer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 984110 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4284 | |
Michael P Feloney, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7710 Mercy Rd Ste 1000, Omaha, NE 68124 Phone: 402-717-2500 Fax: 402-717-2525 | |
Caleb S Miller, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10707 Pacific St Ste 101, Omaha, NE 68114 Phone: 402-397-7989 Fax: 402-393-7554 | |
Stefanie L Bolte, Urology Medicare: Not Enrolled in Medicare Practice Location: 10707 Pacific St, Suite 101, Omaha, NE 68114 Phone: 402-397-7989 Fax: 402-393-7554 | |
Janae Pauly, Urology Medicare: Not Enrolled in Medicare Practice Location: 984110 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4292 |