Raven Mso is a
Clinic/center - Health Service based in Papillion, Nebraska. Raven Mso is licensed to practice in * (Not Available) (license number ) and their current practice location is
639 Bailey Cir, Papillion, Nebraska. It can be reached at their office (for appointments etc.) via phone at
(480) 296-8847.
NPI number for Raven Mso is 1215829221 and their current mailing address is 639 Bailey Cir, Papillion, Nebraska. Raven Mso
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1215829221.
Healthcare Provider's Profile
| Full Name | Raven Mso |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Health Service |
|---|
| Location | 639 Bailey Cir, Papillion, Nebraska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215829221
- Provider Enumeration Date: 07/16/2025
- Last Update Date: 09/02/2025
Medical Identifiers
Medical identifiers for Raven Mso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215829221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (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. Raven Mso 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 |
Raven Mso 639 Bailey Cir, Papillion, NE 68046-4352 Ph: (480) 296-8847 | Raven Mso 639 Bailey Cir, Papillion, NE 68046-4352 Ph: (480) 296-8847 |
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