| Erik Thor Otterberg, MD | |
|
8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 | |
| (402) 390-4111 | |
| (402) 390-4115 |
| Full Name | Erik Thor Otterberg |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 8005 Farnam Dr Ste 305, Omaha, Nebraska |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831157536 | NPI | - | NPPES |
| 09-00253 | Other | NE | SHARE ADVANTAGE/MERCY RD |
| 09-01143 | Other | NE | SHARE ADVANTAGE/ LAKESIDE |
| 0530154 | Medicaid | IA | |
| 35110 | Other | NE | MIDLANDS CHOICE |
| 47063010113 | Medicaid | NE | |
| 03733 | Other | NE | BCBS OF NEBRASKA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 21337 (Nebraska) | Secondary |
| 207X00000X | Orthopaedic Surgery | 21337 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Omaha, NE | Home health agency |
| Midwest Surgical Hospital Llc | Omaha, NE | Hospital |
| The Nebraska Methodist Hospital | Omaha, NE | Hospital |
| Shenandoah Medical Center | Shenandoah, IA | Hospital |
| Chi Health Lakeside | Omaha, NE | Hospital |
| Chi Health Immanuel | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shenandoah Medical Center | 9436063237 | 56 |
| Md West One, Pc | 0446228852 | 84 |
| Shenandoah Medical Center | 9436063237 | 56 |
| Sports Rehab And Professional Therapy Associates Inc | 1658289608 | 141 |
| Md West One, Pc | 0446228852 | 84 |
| Entity Name | Shenandoah Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497810972 PECOS PAC ID: 9436063237 Enrollment ID: O20040209000347 |
| Entity Name | Md West One, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588616767 PECOS PAC ID: 0446228852 Enrollment ID: O20080403000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Erik Thor Otterberg, MD 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 Ph: (402) 390-4111 | Erik Thor Otterberg, MD 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 Ph: (402) 390-4111 |
Dr. Adam Schell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13616 California St Ste 100, Omaha, NE 68154 Phone: 402-496-0404 Fax: 402-496-7766 | |
Robert M Cochran, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11819 Miracle Hills Dr Ste 203, Suite 203, Omaha, NE 68154 Phone: 402-492-9922 Fax: 402-492-9944 | |
Mark E Dietrich, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 981080 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-8000 Fax: 402-559-5511 | |
Jace Joseph Heiden, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2725 S 144th St Ste 212, Omaha, NE 68144 Phone: 402-609-3000 Fax: 402-609-3808 | |
Dr. William S Singer, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2725 South 144th Street, Suite 212, Omaha, NE 68144 Phone: 402-637-0800 Fax: 402-637-0852 | |
Samuel P Phillips, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8005 Farnam Dr Ste 305, Omaha, NE 68114 Phone: 402-390-4111 Fax: 402-390-4115 | |
Richard Michael Gross, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7710 Mercy Rd, Suite 224, Omaha, NE 68124 Phone: 402-399-8550 Fax: 402-399-8455 |