Dr Thomas N Fennessy, MD | |
2501 Lakeridge Dr Ste 104, Norfolk, NE 68701-2558 | |
(402) 368-9964 | |
(402) 368-5675 |
Full Name | Dr Thomas N Fennessy |
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Gender | Male |
Speciality | Family Medicine |
Location | 2501 Lakeridge Dr Ste 104, Norfolk, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356357149 | NPI | - | NPPES |
01724 | Other | NE | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34333 (Iowa) | Secondary |
207Q00000X | Family Medicine | 22583 (Nebraska) | Secondary |
207Q00000X | Family Medicine | 5291 (South Dakota) | Primary |
Entity Name | Kearney Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174932388 PECOS PAC ID: 7517109408 Enrollment ID: O20141029001548 |
Mailing Address | Practice Location Address |
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Dr Thomas N Fennessy, MD 2900 Mimick Dr, Norfolk, NE 68701-3350 Ph: (402) 992-0659 | Dr Thomas N Fennessy, MD 2501 Lakeridge Dr Ste 104, Norfolk, NE 68701-2558 Ph: (402) 368-9964 |
Michael A Adams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 N 27th St, Suite 11, Norfolk, NE 68701 Phone: 402-844-8167 Fax: 402-844-8168 | |
Dr. Losika Sivaganeshan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 W Norfolk Ave Ste 100, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 | |
Dr. Joseph Paul Dangberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-844-8000 Fax: 402-844-8047 | |
Edward A Wicker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3309 N 25th St, Norfolk, NE 68701 Phone: 402-402-9076 | |
Kari L Galyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N 37th St, Norfolk, NE 68701 Phone: 402-370-4100 Fax: 402-370-4100 | |
Alison Stover, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 110 N 29th St Ste 101, Norfolk, NE 68701 Phone: 402-644-7550 | |
Dr. David P Lux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N 27th St, Ste 1, Norfolk, NE 68701 Phone: 402-844-8000 Fax: 402-844-8047 |