| Michael D Dewald, MD | |
|
7601 Pioneers Blvd, Lincoln, NE 68506-4675 | |
| (402) 484-6677 | |
| (402) 484-4476 |
| Full Name | Michael D Dewald |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 7601 Pioneers Blvd, Lincoln, 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 |
|---|---|---|---|
| 1164486528 | NPI | - | NPPES |
| 47078180813 | Medicaid | NE | |
| NA1330010 | Other | NE | SMI MEDICARE PIN |
| 273366 | Other | NE | AMI MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 19716 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 19716 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| York General Hospital | York, NE | Hospital |
| Phelps Memorial Health Center | Holdrege, NE | Hospital |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | Hospital |
| Community Medical Center, Inc. | Falls city, NE | Hospital |
| Fillmore County Hospital | Geneva, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Medical Imaging Llc | 0840265773 | 36 |
| Radiology Associates Pc | 5698735181 | 33 |
| Radiology Associates Pc | 5698735181 | 33 |
| Advanced Medical Imaging Llc | 0840265773 | 36 |
| Radiology Associates Pc | 5698735181 | 33 |
| Entity Name | Advanced Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437116936 PECOS PAC ID: 0840265773 Enrollment ID: O20040901001407 |
| Entity Name | Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548227036 PECOS PAC ID: 5698735181 Enrollment ID: O20041019000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Dewald, MD 7601 Pioneers Blvd, Lincoln, NE 68506-4675 Ph: (402) 484-6677 | Michael D Dewald, MD 7601 Pioneers Blvd, Lincoln, NE 68506-4675 Ph: (402) 484-6677 |
David M Schmidt, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476 | |
Eric M Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3901 Pine Lake Rd, Suite 300, Lincoln, NE 68516 Phone: 402-420-3500 | |
Douglas J Winjum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7121 Stephanie Ln, Ste 100, Lincoln, NE 68516 Phone: 402-420-3500 | |
Dr. Kathryn Totino, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Pine Lake Rd Ste 214, Lincoln, NE 68516 Phone: 402-481-6000 Fax: 402-423-4100 | |
Rahul S Razdan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476 | |
Dr. Clark B Diffendaffer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 |