| Dr Michael Joseph Mcgahan, MD | |
|
2620 W Faidley Ave, Grand Island, NE 68803-4205 | |
| (308) 398-5560 | |
| Not Available |
| Full Name | Dr Michael Joseph Mcgahan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2620 W Faidley Ave, Grand Island, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235116963 | NPI | - | NPPES |
| 1235116963 | Medicaid | NE | |
| 47037877912 | Medicaid | NE | |
| 1235116963 | Other | KS | BLUE SHIELD |
| 20579960D | Medicaid | KS | |
| 200579960B | Medicaid | KS | |
| 03470 | Other | NE | NE BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 17445 (Nebraska) | Primary |
| 207Q00000X | Family Medicine | 047443 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | 0424377 (Kansas) | Secondary |
| Entity Name | Kearney Regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174932388 PECOS PAC ID: 7517109408 Enrollment ID: O20141029001548 |
| Entity Name | Grand Island Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225658495 PECOS PAC ID: 0143659508 Enrollment ID: O20200904000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Joseph Mcgahan, MD 2717 Lakewood Dr, Grand Island, NE 68801-7271 Ph: (308) 381-6656 | Dr Michael Joseph Mcgahan, MD 2620 W Faidley Ave, Grand Island, NE 68803-4205 Ph: (308) 398-5560 |
Jessica Ann Forbes, DNP, FNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Lexington Cir, Grand Island, NE 68803 Phone: 308-675-3222 | |
Brian K Elliott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2116 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5560 |