| Rosann C Nichols, MD | |
|
17675 Welch Plz, Omaha, NE 68135-3551 | |
| (402) 354-7600 | |
| (402) 435-4075 |
| Full Name | Rosann C Nichols |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 17675 Welch Plz, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982631719 | NPI | - | NPPES |
| 47068731785 | Medicaid | NE | |
| 1982631719 | Medicaid | IA | |
| 10025464000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 31225 (Kansas) | Secondary |
| 208000000X | Pediatrics | 24036 (Nebraska) | Primary |
| 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 |
|---|---|
| Rosann C Nichols, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Rosann C Nichols, MD 17675 Welch Plz, Omaha, NE 68135-3551 Ph: (402) 354-7600 |
Dr. Amanda Marshall, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-2292 | |
Clayton Mowrer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-4060 | |
Makenzie Grant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 983040 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-8501 | |
Dr. Karen D. Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4224 S 50th St, Omaha, NE 68117 Phone: 402-733-3444 Fax: 402-731-0790 | |
Rose Elizabeth Mccoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 982185 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-5380 | |
John D Kugler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-4350 Fax: 402-955-4356 | |
Margarita Dickey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3353 L St, Omaha, NE 68107 Phone: 402-354-7700 Fax: 402-354-7710 |