| John A Haggstrom, MD | |
|
16901 Lakeside Hills Ct, Alegent Lakeside Hospital Dept Of Radiology, Omaha, NE 68130-2318 | |
| (402) 717-8000 | |
| Not Available |
| Full Name | John A Haggstrom |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 16901 Lakeside Hills Ct, Omaha, 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 |
|---|---|---|---|
| 1710923826 | NPI | - | NPPES |
| 6165159 | Medicaid | IA | |
| 14706 | Other | NE | LICENSE # |
| 821 | Other | MIDLANDS | |
| 31859 | Other | IA | LICENSE # |
| 35328 | Other | NE | BCBS |
| 2165159 | Medicaid | IA | |
| 3165159 | Medicaid | IA | |
| 5165159 | Medicaid | IA | |
| BH4712851 | Other | IA | CONTROLLED SUBSTANCE |
| 40621 | Other | IA | BCBS |
| 4165159 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 20553 (Nebraska) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 31859 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Methodist Fremont Health | Fremont, NE | Hospital |
| Chi Health Lakeside | Omaha, NE | Hospital |
| Chi Health Immanuel | Omaha, NE | Hospital |
| Chi Health St. Elizabeth | Lincoln, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Consultants Pc | 8325947799 | 44 |
| Radiology Consultants Pc | 8325947799 | 44 |
| Entity Name | Radiology Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215969407 PECOS PAC ID: 8325947799 Enrollment ID: O20040105000605 |
| Entity Name | Think Aksarben Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316357676 PECOS PAC ID: 9638394505 Enrollment ID: O20140819000301 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Haggstrom, MD Po Box 4460, Omaha, NE 68104 Ph: (886) 491-5807 | John A Haggstrom, MD 16901 Lakeside Hills Ct, Alegent Lakeside Hospital Dept Of Radiology, Omaha, NE 68130-2318 Ph: (402) 717-8000 |
Dr. Timothy Edward Donovan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-1010 Fax: 102-559-1011 | |
Mary S. Davey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 N 30th St Ste 3601, Omaha, NE 68131 Phone: 402-449-4540 | |
Craig W Walker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-1010 Fax: 402-559-1011 | |
Steven T Mccormack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17310 Wright St Ste 103, Omaha, NE 68130 Phone: 833-228-6889 Fax: 877-853-0376 | |
John Paul Haas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-1010 Fax: 402-559-1011 | |
Sushama P Kunnathil, MBBS Radiology Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-1010 Fax: 402-559-1011 | |
Matthew F Omojola, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St Ste 3601, Omaha, NE 68131 Phone: 402-449-4540 |