Mikala Megan Albertson, M.D.
Individual provider Active NPI Family Medicine Physician · Omaha, NE
NPI 1669694667 · NPPES record last updated Nov 20, 2009
Key facts
- NPI
- 1669694667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24914 (NE)
- Practice address
- 10060 Regency Cir
Omaha, NE 68114-3732 - Phone
- (402) 354-1404
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24914 | NE | Yes |
Addresses
Primary practice location
10060 Regency Cir
Omaha, NE 68114-3732
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025464000 | Medicaid | NE | |
| 47068731 | Medicaid | NE | |
| 47068731706 | Medicaid | NE | |
| 47068731742 | Medicaid | NE | |
| 14268731785 | Medicaid | NE | |
| 1669694997 | Medicaid | IA |
Other providers in Omaha, NE
- Alberta Hassett
- Jared Thomas Alberts
- Keaton Stoney Alberts
- River Alberts
- Emily Michelle Albertsen
- Serena Albertson
- Huda Albezihi
- Cheri A Albin
- Russell J Albin
- Lacy Albrecht
All providers in Omaha, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.