Organization
MARTIN M MANCUSO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DEROUCHEY (PRACTICE MANAGER)
(402) 330-0444
Entity
Organization
Contact information
Practice address
11704 W CENTER RD STE 210, OMAHA, NE 68144-4327
(402) 334-3377
(402) 691-9922
Mailing address
11704 W CENTER RD STE 210, OMAHA, NE 68144-4327
(402) 334-3377
(402) 691-9922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14017
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903674
—
IA
01
—
828013494
TRAVELERS RR MEDICARE
NE
Enumeration date
09/11/2007
Last updated
08/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us