MEDICARE: PETSAMONH WEELAKORN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372500000X	Chore Provider

General Provider Information

NPI Number	:	1912868951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETSAMONH WEELAKORN

Provider Business Mailing Address
First Line	:	905 VINE ST
Second Line	:
City	:	DAKOTA CITY
State	:	NE
Zip	:	68731-4091
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 VINE ST
Second Line	:
City	:	DAKOTA CITY
State	:	NE
Zip	:	68731-4091
Country	:	US
Telephone Number	:	402-508-0203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

Similar Medicare Providers

1487517058 — SAKI WEELAKORN
Practice Location Address:

905 VINE ST
DAKOTA CITY, NE
68731-4091

Practice Phone: 402-404-4335
Practice Fax:

1376404319 — KETMANY WEELAKORN
Practice Location Address:

905 VINE ST
DAKOTA CITY, NE
68731-4091

Practice Phone: 402-508-0203
Practice Fax:

1407845274 — DAKOTA CITY VOLUNTEER FIRE DEPARTMENT INC. OF DAKOTA CITY, NEBRASKA
Practice Location Address:

1516 MYRTLE ST
DAKOTA CITY, NE
68731

Practice Phone: 402-572-4019
Practice Fax: 402-965-8594

1396839528 — DR. DAVID NOBLE DDS
Practice Location Address:

1410 BROADWAY ST.
DAKOTA CITY, NE
68731-0493

Practice Phone: 402-987-3484
Practice Fax:

1639368723 — COUNTY OF DAKOTA
Practice Location Address:

1601 BROADWAY ST
DAKOTA CITY, NE
68731-0155

Practice Phone: 402-987-2164
Practice Fax: 402-987-2163

1669744470 — ANDREA MAE BABCOCK
Practice Location Address:

1401 PINE ST
DAKOTA CITY, NE
68731-5090

Practice Phone: 402-494-1727
Practice Fax:

Directions to “ PETSAMONH WEELAKORN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.