| Date Amouzou, NP | |
|
16101 Grebe St, Bennington, NE 68007-1255 | |
| (402) 517-0839 | |
| Not Available |
| Full Name | Date Amouzou |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 16101 Grebe St, Bennington, 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 |
|---|---|---|---|
| 1942755954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 112098 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Immanuel | Omaha, NE | Hospital |
| Chi Health Mercy Council Bluffs | Council bluffs, IA | Hospital |
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Entity Name | Health At Home Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346566163 PECOS PAC ID: 9133252018 Enrollment ID: O20100728001161 |
| Entity Name | Align Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730466228 PECOS PAC ID: 7315104916 Enrollment ID: O20120215000869 |
| Entity Name | Keen Minds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568048726 PECOS PAC ID: 9032518717 Enrollment ID: O20210528002252 |
| Mailing Address | Practice Location Address |
|---|---|
| Date Amouzou, NP 7261 Mercy Rd, Omaha, NE 68124-2311 Ph: () - | Date Amouzou, NP 16101 Grebe St, Bennington, NE 68007-1255 Ph: (402) 517-0839 |
Kristina L Wallingford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7941 N 152nd St, Bennington, NE 68007 Phone: 402-553-4717 | |
Mr. Bakir-wena Komla Badjaglana, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14822 Grebe St, Bennington, NE 68007 Phone: 402-515-4044 | |
Jenny N Dankert, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15009 Mormon St, Bennington, NE 68007 Phone: 402-216-8905 |