| Edward F Fogarty Iii, MD | |
|
26 Makochmni, Ogallala, NE 69153-5801 | |
| (701) 595-1868 | |
| (833) 228-6889 |
| Full Name | Edward F Fogarty Iii |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 26 Makochmni, Ogallala, 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 |
|---|---|---|---|
| 1902826340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 9435 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Plains Health | North platte, NE | Hospital |
| Community Hospital | Mccook, NE | Hospital |
| Cherry County Hospital | Valentine, NE | Hospital |
| Perkins County Health Services | Grant, NE | Hospital |
| Jennie M Melham Memorial Medical Center | Broken bow, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Platte Nebraska Hospital Corporation | 6507856697 | 199 |
| Entity Name | Great Plains Radiology & Nuclear Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427089838 PECOS PAC ID: 2062310899 Enrollment ID: O20031230000597 |
| Entity Name | North Platte Nebraska Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700855533 PECOS PAC ID: 6507856697 Enrollment ID: O20040512000889 |
| Entity Name | Grand Island Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932136405 PECOS PAC ID: 7719978261 Enrollment ID: O20040521001250 |
| Entity Name | Diagnostic Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497713291 PECOS PAC ID: 2264491570 Enrollment ID: O20041004000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward F Fogarty Iii, MD 17310 Wright St Ste 103, Omaha, NE 68130-2405 Ph: (833) 228-6889 | Edward F Fogarty Iii, MD 26 Makochmni, Ogallala, NE 69153-5801 Ph: (701) 595-1868 |