| Emily K Bendlin, MD | |
|
11946 Standing Stone Dr, Gretna, NE 68028 | |
| (402) 815-4500 | |
| (402) 815-4510 |
| Full Name | Emily K Bendlin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 11946 Standing Stone Dr, Gretna, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902246747 | NPI | - | NPPES |
| 10025837400 | Medicaid | NE | |
| 1902246747 | Medicaid | IA | |
| 10026480100 | Medicaid | NE | |
| 1002546400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 7013 (Nebraska) | Secondary |
| 208000000X | Pediatrics | 29216 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily K Bendlin, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Emily K Bendlin, MD 11946 Standing Stone Dr, Gretna, NE 68028 Ph: (402) 815-4500 |
Dr. Shannon Kathleen Godsil, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11946 Standing Stone Dr, Gretna, NE 68028 Phone: 402-815-4500 Fax: 402-815-4510 | |
Dr. Katie Lora Vollmuth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 |