| Michael Dean Soe, MD | |
|
450 East 23rd St, Fremont, NE 68025 | |
| (402) 721-3070 | |
| (402) 727-3513 |
| Full Name | Michael Dean Soe |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 450 East 23rd 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 |
|---|---|---|---|
| 1376589465 | NPI | - | NPPES |
| 47058135000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 18553 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guthrie County Hospital | Guthrie center, IA | Hospital |
| Audubon County Memorial Hospital | Audubon, IA | Hospital |
| Greene County Medical Center | Jefferson, IA | Hospital |
| Stewart Memorial Community Hospital | Lake city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Radiology P C | 2264323468 | 37 |
| Entity Name | Iowa Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336107283 PECOS PAC ID: 2264323468 Enrollment ID: O20040324001052 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Dean Soe, MD 415 E 23rd St, Ste 210, Fremont, NE 68025-2393 Ph: (402) 721-4866 | Michael Dean Soe, MD 450 East 23rd St, Fremont, NE 68025 Ph: (402) 721-3070 |
Jeffrey A Himmelberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 450 East 23rd Street, Fremont, NE 68025 Phone: 402-721-1610 Fax: 402-559-9840 | |
Carter Noal Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-721-3070 Fax: 402-727-3513 | |
Mark Christian Johannsen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-721-3070 Fax: 402-727-3513 | |
Brock Carl Harnisch, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2230 E 12th St, Fremont, NE 68025 Phone: 312-375-4601 | |
Dr. Janet S Pieck, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-727-3586 Fax: 402-727-3618 |