Look up the most recent NPI and PECOS records

Mia Catherine Maciolek

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

986845 Nebraska Medical Center Unit 5307, Omaha, NE 68198-0001

PECOS Enrollment

This provider is enrolled in PECOS as MIA STOLTENBERG.

Based on the most recent information from CMS, provider Mia Catherine Maciolek is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871299826
Provider Type
Individual
Full Name
Maciolek, Mia Catherine
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/1/2023
Last Updated
2/1/2023

Contact Information

Practice Location

986845 Nebraska Medical Center Unit 5307, Omaha, NE 68198-0001

(402) 559-8874

Unlisted Fax

Mailing Location

501 N 46th St Apt 5307, Omaha, NE 68132-3284

(303) 819-1676

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2879 Nebraska

Mia Catherine Maciolek

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Fricke, Miranda M

Storey, Anne Marie

Graff, Lisa Kay

Polack, Susan H

Sorrell, Claire Marie

Janiak, Kathryn E

Ketchmark, Sophia Josephine

Hanson, Kora

Kelley, Chad

Grovijohn, Reba Ann