| Ms Amy C Short, MD | |
|
1115 S Willow St, North Platte, NE 69101-6082 | |
| (308) 534-4804 | |
| (308) 534-0460 |
| Full Name | Ms Amy C Short |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 24 Years |
| Location | 1115 S Willow St, North Platte, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245202001 | NPI | - | NPPES |
| 27873 | Other | NE | STATE MEDICAL LICENSE |
| 200638290A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0101234052 (Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 27873 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Plains Health | North platte, NE | Hospital |
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Platte Ob/gyn Pc | 8820088701 | 6 |
| Entity Name | North Platte Ob/gyn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215942677 PECOS PAC ID: 8820088701 Enrollment ID: O20040513000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy C Short, MD 1115 S Willow St, North Platte, NE 69101-6082 Ph: (308) 534-4804 | Ms Amy C Short, MD 1115 S Willow St, North Platte, NE 69101-6082 Ph: (308) 534-4804 |
Dr. Yongsik Chris Johng, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1115 S Willow St, North Platte, NE 69101 Phone: 308-534-4804 Fax: 308-534-0460 | |
Benjamin Klug, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 S Willow St, North Platte, NE 69101 Phone: 308-534-4804 Fax: 308-534-0460 | |
Shauna Lindstedt Easterday, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 S Willow St, North Platte, NE 69101 Phone: 308-534-4804 Fax: 308-534-0460 | |
Dr. Michael James Bianco, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 S Willow St, North Platte, NE 69101 Phone: 308-534-4804 Fax: 308-534-0460 | |
Dr. Walter Robert Weaver, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1115 S Willow St, North Platte, NE 69101 Phone: 308-534-4804 Fax: 308-534-0460 |