| Dr Shane Dennis Dieckman, DO | |
|
2501 Capehart Rd, Offutt Afb, NE 68113-1043 | |
| (402) 294-2448 | |
| Not Available |
| Full Name | Dr Shane Dennis Dieckman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 2501 Capehart Rd, Offutt Afb, 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 |
|---|---|---|---|
| 1487647368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DR.0055905 (Colorado) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 305 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Chi Health Lakeside | Omaha, NE | Hospital |
| Methodist Fremont Health | Fremont, NE | Hospital |
| Chi Health Midlands | Papillion, NE | Hospital |
| Chi Health St. Elizabeth | Lincoln, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Consultants Pc | 8325947799 | 44 |
| Radiology Consultants Pc | 8325947799 | 44 |
| Entity Name | Radiology Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215969407 PECOS PAC ID: 8325947799 Enrollment ID: O20040105000605 |
| Entity Name | Think Aksarben Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316357676 PECOS PAC ID: 9638394505 Enrollment ID: O20140819000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Dennis Dieckman, DO 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 333-5115 | Dr Shane Dennis Dieckman, DO 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-2448 |
Dr. Jonathan Muldermans, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-9127 | |
Dr. Marcus Scott Maydew, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-295-7405 | |
Dr. Noal Isaac Hart, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-2448 |