| Md Pain Llc | |
|
4130 Pioneer Woods Dr Ste 4 Lincoln NE 68506-7552 | |
| (402) 858-0117 | |
| (402) 477-9295 |
| Full Name | Md Pain Llc |
|---|---|
| Speciality | Anesthesiology |
| Location | 4130 Pioneer Woods Dr Ste 4, Lincoln, Nebraska |
| Authorized Official Name and Position | John R Massey (OWNER) |
| Authorized Official Contact | 4028580117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Pain Llc 4130 Pioneer Woods Dr Ste 4 Lincoln NE 68506-7552 Ph: (402) 858-0117 | Md Pain Llc 4130 Pioneer Woods Dr Ste 4 Lincoln NE 68506-7552 Ph: (402) 858-0117 |
| NPI Number | 1235668294 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/09/2023 |
| Medicare PECOS PAC ID | 3274806807 |
|---|---|
| Medicare Enrollment ID | O20170901003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235668294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Liane E Donovan |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1093770687 PECOS PAC ID: 0648233320 Enrollment ID: I20041105000419 |
| Provider Name | John R Massey |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922063528 PECOS PAC ID: 0547223224 Enrollment ID: I20041108000779 |
| Provider Name | Danelle Jo Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922354141 PECOS PAC ID: 5799933719 Enrollment ID: I20181221002445 |
| Provider Name | Zachary A Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386924553 PECOS PAC ID: 1052572468 Enrollment ID: I20200626000674 |
| Provider Name | Lisa A Ostendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326458019 PECOS PAC ID: 9234548322 Enrollment ID: I20210430000961 |
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