| Carl Scott Gutshall, OD | |
|
214 N 10th St, Oneill, NE 68763-1604 | |
| (402) 336-2505 | |
| (402) 336-3506 |
| Full Name | Carl Scott Gutshall |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 214 N 10th St, Oneill, 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 |
|---|---|---|---|
| 1386718807 | NPI | - | NPPES |
| 47076692800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 987 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gutshall Kohle Pelster Eyecare Llc | 9931209798 | 3 |
| Provider Name | Gutshall Kohle Pelster Eyecare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497817241 PECOS PAC ID: 9931209798 Enrollment ID: O20070709000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Scott Gutshall, OD Po Box 378, Oneill, NE 68763-0378 Ph: (402) 336-2505 | Carl Scott Gutshall, OD 214 N 10th St, Oneill, NE 68763-1604 Ph: (402) 336-2505 |
Dr. Jonna Marie Kohle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506 | |
Tessa W Pelster, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506 | |
Oneill Family Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 612 N 4th St, Oneill, NE 68763 Phone: 402-336-2220 Fax: 402-336-4845 | |
Gutshall Kohle Pelster Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-2505 | |
Dr. Philip Lyle Gildersleeve, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 612 N 4th St, Pob 818, Oneill, NE 68763 Phone: 402-336-2220 Fax: 402-336-4845 |