| Dr Mark T Leahy, MD | |
|
700 E 29th St, Fremont, NE 68025-2384 | |
| (402) 721-3133 | |
| (402) 941-7017 |
| Full Name | Dr Mark T Leahy |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 700 E 29th St, Fremont, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629043773 | NPI | - | NPPES |
| 47053664516 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 19033 (Nebraska) | Primary |
| Entity Name | Good Neighbor Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740491786 PECOS PAC ID: 0840100392 Enrollment ID: O20040327000235 |
| Entity Name | Good Neighbor Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902287261 PECOS PAC ID: 0840100392 Enrollment ID: O20150624001057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark T Leahy, MD 700 E 29th St, Fremont, NE 68025-2384 Ph: (402) 721-3133 | Dr Mark T Leahy, MD 700 E 29th St, Fremont, NE 68025-2384 Ph: (402) 721-3133 |
Nicole Lynn Wagner Dix, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 E 29th St, Fremont, NE 68025 Phone: 402-721-3133 Fax: 402-941-7017 | |
Jamie Haferbier Gustafson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2540 N Healthy Way, Fremont, NE 68025 Phone: 402-721-3133 | |
Jadynn T Morris, APRN Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2400 N Lincoln Ave Ste A, Fremont, NE 68025 Phone: 402-704-2254 | |
Gerald Keasling, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 E 29th St, Fremont, NE 68025 Phone: 402-721-3133 Fax: 402-941-7017 |