MEDICARE: MEDICAL PAIN CENTER, PC

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	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1972670453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PAIN CENTER, PC

Provider Business Mailing Address
First Line	:	7837 CHICAGO PLZ
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3653
Country	:	US
Telephone Number	:	402-390-6226
Fax Number	:

Provider Business Practice Location Address
First Line	:	7837 CHICAGO PLZ
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3653
Country	:	US
Telephone Number	:	402-390-6226
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD GEORGE BELATTI JR.
Credential	:	M.D.
Telephone Number	:	402-390-6226

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	08/22/2020

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