| Dr Sarah Kathryn Broadhead, MD | |
|
717 N 190th Plz, Ste. 3100, Elkhorn, NE 68022-3913 | |
| (402) 815-1325 | |
| (402) 815-2020 |
| Full Name | Dr Sarah Kathryn Broadhead |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 717 N 190th Plz, 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 |
|---|---|---|---|
| 1851507933 | NPI | - | NPPES |
| 47068731742 | Medicaid | NE | |
| 10026480100 | Medicaid | NE | |
| 1851507933 | Medicaid | IA | |
| 10025837400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 24633 (Nebraska) | Primary |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
| Entity Name | Father Flanagans Boys Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sarah Kathryn Broadhead, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Dr Sarah Kathryn Broadhead, MD 717 N 190th Plz, Ste. 3100, Elkhorn, NE 68022-3913 Ph: (402) 815-1325 |
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 |