Date Amouzou, NP - Medicare Nurse Practitioner in Bennington, NE

Date Amouzou, NP is a medicare enrolled "Nurse Practitioner - Family" in Bennington, Nebraska. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Alegent Creighton Clinic, Alegent Creighton Clinic and his current practice location is 16101 Grebe St, Bennington, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 517-0839.

Date Amouzou is licensed to practice in Nebraska (license number 112098) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942755954.

Contact Information

Date Amouzou, NP
16101 Grebe St,
Bennington, NE 68007-1255
(402) 517-0839
Not Available



Provider's Profile

Full NameDate Amouzou
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location16101 Grebe St, Bennington, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Date Amouzou graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1942755954
  • Provider Enumeration Date: 08/19/2016
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719267046
  • Enrollment ID: I20161202001757

Medical Identifiers

Medical identifiers for Date Amouzou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942755954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 112098 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi Health ImmanuelOmaha, NEHospital
Chi Health MidlandsPapillion, NEHospital
Chi Health Mercy Council BluffsCouncil bluffs, IAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Date Amouzou allows following entities to bill medicare on his behalf.
Entity NameAlegent Creighton Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548287907
PECOS PAC ID: 1951210418
Enrollment ID: O20040407001314

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Entity NameAlign Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730466228
PECOS PAC ID: 7315104916
Enrollment ID: O20120215000869

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Entity NameKeen Minds Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568048726
PECOS PAC ID: 9032518717
Enrollment ID: O20210528002252

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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. Date Amouzou 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 AddressPractice Location Address
Date Amouzou, NP
7261 Mercy Rd,
Omaha, NE 68124-2311

Ph: () -
Date Amouzou, NP
16101 Grebe St,
Bennington, NE 68007-1255

Ph: (402) 517-0839

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Nurse Practitioner Nurses in Bennington, NE

Kristina L Wallingford, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7941 N 152nd St, Bennington, NE 68007
Phone: 402-553-4717    
Mr. Bakir-wena Komla Badjaglana,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14822 Grebe St, Bennington, NE 68007
Phone: 402-515-4044    
Jenny N Dankert,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15009 Mormon St, Bennington, NE 68007
Phone: 402-216-8905    

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