| Dr Kenneth Mccord Tierney, APRN | |
| 
					2500 California Plz, Omaha, NE 68178-0133  | |
| (402) 280-2251 | |
| Not Available | 
| Full Name | Dr Kenneth Mccord Tierney | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2500 California 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 | 
|---|---|---|---|
| 1457832677 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 112609 (Nebraska) | Primary | 
| Entity Name | Methodist Fremont Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kenneth Mccord Tierney, APRN 5621 Pine St, Omaha, NE 68106-2210 Ph: (402) 990-2140  | Dr Kenneth Mccord Tierney, APRN 2500 California Plz, Omaha, NE 68178-0133 Ph: (402) 280-2251  | 
Jacqueline Maria Sellner, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13609 California Street, Suite 200, C/o Aureus Medical Group, Omaha, NE 68154 Phone: 800-856-6385  | |
Ms. Gloria Kokes,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2429 M St, Omaha, NE 68107 Phone: 402-731-7333 Fax: 402-614-5405  | |
Angela Salazar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 S 30th St Ste 103, Omaha, NE 68107 Phone: 402-734-4110 Fax: 402-734-3990  | |
Sandra M Cayler, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2126 N 117th Ave, Omaha, NE 68164 Phone: 402-934-1617 Fax: 402-934-5228  | |
Nicole M Shaffer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7710 Mercy Rd Ste 224, Omaha, NE 68124 Phone: 402-717-0880 Fax: 402-717-6068  | |
Olivia B Tedesco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7500 Mercy Rd, Omaha, NE 68124 Phone: 402-398-6014 Fax: 402-398-6983  | |
Courtney Higgins,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16934 Frances St Ste 105, Omaha, NE 68130 Phone: 402-403-4330 Fax: 833-450-6375  |