| Kimberly J Dierks, PA-C | |
|
139 S 40th St, Omaha, NE 68131-3003 | |
| (402) 595-3939 | |
| (402) 595-3898 |
| Full Name | Kimberly J Dierks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 139 S 40th St, 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 |
|---|---|---|---|
| 1750374666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001733 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 1108 (Nebraska) | Primary |
| Entity Name | Unmc Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
| Entity Name | PA Enterprises |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447653183 PECOS PAC ID: 6608193065 Enrollment ID: O20150323002255 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly J Dierks, PA-C 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 Ph: (402) 717-3769 | Kimberly J Dierks, PA-C 139 S 40th St, Omaha, NE 68131-3003 Ph: (402) 595-3939 |
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: 2816 N 165th Cir, Omaha, NE 68116 Phone: 402-312-1097 |
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 |