Mr Dale Richard Lush, LCSW in Offutt A F B, NE - Medicare Social Worker Provider

Mr Dale Richard Lush, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Offutt A F B, Nebraska. His current practice location is 55 Mdos Sgo, 2501 Capehart Road, Offutt A F B, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 294-7411.

Mr Dale Richard Lush is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205820735.

Contact Information

	Mr Dale Richard Lush, LCSW
	55 Mdos Sgo, 2501 Capehart Road, Offutt A F B, NE 68113-1712
	(402) 294-7411
	Not Available

Healthcare Provider's Profile

Full Name	Mr Dale Richard Lush
Gender	Male
Speciality	Social Worker - Clinical
Location	55 Mdos Sgo, Offutt A F B, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205820735
Provider Enumeration Date: 09/12/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9436396421
Enrollment ID: I20130510000478

Medical Identifiers

Medical identifiers for Mr Dale Richard Lush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205820735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (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. Mr Dale Richard Lush is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Dale Richard Lush, LCSW 16017 Cedar Cir, Omaha, NE 68130-1748 Ph: (402) 330-8658	Mr Dale Richard Lush, LCSW 55 Mdos Sgo, 2501 Capehart Road, Offutt A F B, NE 68113-1712 Ph: (402) 294-7411

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Social Worker in Offutt A F B, NE

Mr. Kenneth Clark Komyathy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Mdos Sgo, 2501 Capehart Road, Offutt A F B, NE 68113 Phone: 402-294-7886 Fax: 402-232-7291
Ms. Jan B Reynolds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Ehrling Bergquist Hospital - Family Advocacy Clinic, Offutt A F B, NE 68113 Phone: 402-294-7886 Fax: 402-232-7291
Dr. Sharon J. Gober, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt A F B, NE 68113 Phone: 402-516-2934
Mr. Elwood Wilbur Kline, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt A F B, NE 68113 Phone: 402-294-7886

Mr Dale Richard Lush, LCSW - Medicare Clinical Social Worker in Offutt A F B, NE