Mahogany Dortch, is a
Technician - Personal Care Attendant based in Omaha, Nebraska. Mahogany Dortch is licensed to practice in * (Not Available) (license number ) and her current practice location is
4611 S 96th St Ste 134, Omaha, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 607-8344.
NPI number for Mahogany Dortch is 1942007372 and her current mailing address is 4611 S 96th St Ste 134, Omaha, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942007372.
Provider's Profile
Full Name | Mahogany Dortch |
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Gender | Female |
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Speciality | Technician - Personal Care Attendant |
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Location | 4611 S 96th St Ste 134, Omaha, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942007372
- Provider Enumeration Date: 02/25/2025
- Last Update Date: 02/25/2025
Medical Identifiers
Medical identifiers for Mahogany Dortch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942007372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 28335 (Nebraska) | Secondary |
3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mahogany Dortch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mahogany Dortch, 4611 S 96th St Ste 134, Omaha, NE 68127-1240 Ph: (402) 607-8344 | Mahogany Dortch, 4611 S 96th St Ste 134, Omaha, NE 68127-1240 Ph: (402) 607-8344 |
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