| Qli Physician's Clinic | |
|
6320 N 70th Plz Omaha NE 68104-1072 | |
| (402) 573-3700 | |
| (402) 573-3790 |
| Full Name | Qli Physician's Clinic |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6320 N 70th Plz, Omaha, Nebraska |
| Authorized Official Name and Position | Todd R Schuiteman (VICE PRESIDENT & CFO) |
| Authorized Official Contact | 4025733744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qli Physician's Clinic 6404 N 70th Plz Omaha NE 68104-1074 Ph: (402) 573-3700 | Qli Physician's Clinic 6320 N 70th Plz Omaha NE 68104-1072 Ph: (402) 573-3700 |
| NPI Number | 1710458237 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 07/23/2019 |
| Medicare PECOS PAC ID | 2860301322 |
|---|---|
| Medicare Enrollment ID | O20041217000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710458237 | NPI | - | NPPES |
| Provider Name | Joseph S Dumba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417007402 PECOS PAC ID: 0143211177 Enrollment ID: I20040903001038 |
| Provider Name | Lucas J Krizek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669957098 PECOS PAC ID: 2062740160 Enrollment ID: I20190828000744 |
| Provider Name | James Martin Kult |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285016014 PECOS PAC ID: 6709153109 Enrollment ID: I20190904002706 |
| Provider Name | Anna C Calgaard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588141766 PECOS PAC ID: 2567843832 Enrollment ID: I20220718002248 |
| Provider Name | Zoey L Devney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447959556 PECOS PAC ID: 0042679466 Enrollment ID: I20230703002146 |
| Provider Name | Kelly Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265113641 PECOS PAC ID: 5193187540 Enrollment ID: I20230816002691 |
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