| Gerald Keasling, MD | |
|
700 E 29th St, Fremont, NE 68025-2384 | |
| (402) 721-3133 | |
| (402) 941-7017 |
| Full Name | Gerald Keasling |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 50 Years |
| Location | 700 E 29th St, Fremont, 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 |
|---|---|---|---|
| 1770558801 | NPI | - | NPPES |
| 47053664516 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 14148 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Fremont Health | Fremont, NE | Hospital |
| The Nebraska Methodist Hospital | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Clinic Inc | 4880506062 | 536 |
| 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 |
|---|---|
| Gerald Keasling, MD 700 E 29th St, Fremont, NE 68025-2384 Ph: (402) 721-3133 | Gerald Keasling, MD 700 E 29th St, Fremont, NE 68025-2384 Ph: (402) 721-3133 |
Nicole Lynn Wagner Dix, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 E 29th St, Fremont, NE 68025 Phone: 402-721-3133 Fax: 402-941-7017 | |
Jamie Haferbier Gustafson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2540 N Healthy Way, Fremont, NE 68025 Phone: 402-721-3133 | |
Jadynn T Morris, APRN Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2400 N Lincoln Ave Ste A, Fremont, NE 68025 Phone: 402-704-2254 | |
Dr. Mark T Leahy, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 700 E 29th St, Fremont, NE 68025 Phone: 402-721-3133 Fax: 402-941-7017 |