| Joshua Douglas Nellis, PA-C | |
|
12050 Pacific St, Omaha, NE 68154-3507 | |
| (402) 614-4969 | |
| Not Available |
| Full Name | Joshua Douglas Nellis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 12050 Pacific St, Omaha, 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 |
|---|---|---|---|
| 1134890288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 027341 (New York) | Secondary |
| 363A00000X | Physician Assistant | 2840 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ellis Hospital | Schenectady, NY | Hospital |
| St Mary's Healthcare | Amsterdam, NY | Hospital |
| Nathan Littauer Hospital | Gloversville, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Peter's Health Partners Medical Associates, P.c. | 6103061189 | 480 |
| St Peters Hospital Of The City Of Albany | 2668460072 | 268 |
| Entity Name | Samaritan Hospital of Troy, New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
| Entity Name | St Peters Hospital of the City of Albany |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
| Entity Name | St. Peter's Health Partners Medical Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Douglas Nellis, PA-C 12050 Pacific St, Omaha, NE 68154-3507 Ph: Not Available | Joshua Douglas Nellis, PA-C 12050 Pacific St, Omaha, NE 68154-3507 Ph: (402) 614-4969 |
Neil C Jouvenat Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4242 Farnam St Ste 650, Omaha, NE 68131 Phone: 402-559-8600 |
Mr. Marty Paul Ussery Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 N 162nd Ave Ste 300, Omaha, NE 68118 Phone: 402-354-1200 Fax: 402-354-1205 |
Dominique Merle Mack, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1813 N 73rd St, Omaha, NE 68114 Phone: 402-991-5070 |
Mayle Owen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16901 Lakeside Hills Ct, Omaha, NE 68130 Phone: 855-524-4001 Fax: 402-717-7340 |
Abigail Marie Frick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7710 Mercy Rd, Omaha, NE 68124 Phone: 402-417-0528 |
Jennifer M Vaughn, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St, Omaha, NE 68131 Phone: 402-449-4590 |
Karen R Schrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-8715 |