Individual ProviderMarlene Ingrid DjidjohoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressS 42nd & Emily St, Omaha, NE 68198-0001(402) 559-4000PECOS EnrollmentBased on the most recent information from CMS, provider Marlene Ingrid Djidjoho does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1639069313Provider TypeIndividualFull NameDjidjoho, Marlene IngridCredentialPAGenderFemaleSole ProprietorYesEnumeration Date7/5/2025Last Updated7/5/2025Contact InformationPractice LocationPractice AddressS 42nd & Emily St, Omaha, NE 68198-0001Phone(402) 559-4000FaxUnlisted FaxMailing LocationMailing AddressS 42 & Emile Street, Omaha, NE 68198-0001Phone(402) 559-4000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer