- Medicare in Las Vegas, NV

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is a medicare enrolled "General Practice" provider in Las Vegas, Nevada. Their current practice location is 9975 S Eastern Ave, Suite 110, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 361-2273.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1457382863.

Contact Information

9975 S Eastern Ave, Suite 110,
Las Vegas, NV 89183-7949
(702) 361-2273
(702) 616-0657

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityGeneral Practice
Location9975 S Eastern Ave, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457382863
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 10/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5092735936
  • Enrollment ID: O20051206000970

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457382863NPI-NPPES
100508145MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
204D00000XNeuromusculoskeletal Medicine & Omm 1915 (Nevada)Secondary
207Q00000XFamily Medicine 1001 (Nevada)Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation 1915 (Nevada)Secondary
2083T0002XPreventive Medicine - Medical Toxicology 9529 (Nevada)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 1001 (Nevada)Secondary
208D00000XGeneral Practice (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary
225200000XPhysical Therapy Assistant (* (Not Available))Secondary
225700000XMassage Therapist (* (Not Available))Secondary
247100000XRadiologic Technologist (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameHumberto Rodriguez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1912927229
PECOS PAC ID: 3678562394
Enrollment ID: I20040508000094
Provider NameSana Siddiqui
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1093977456
PECOS PAC ID: 5890930531
Enrollment ID: I20130328000258
Provider NameArion Shepherd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982159638
PECOS PAC ID: 3072882216
Enrollment ID: I20170703001881
Provider NameJudith Muthoni Kuria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750871182
PECOS PAC ID: 5193080968
Enrollment ID: I20180525001409
Provider NameHillary Habiger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780074153
PECOS PAC ID: 7113148800
Enrollment ID: I20190830002758

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. 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

Po Box 530010,
Henderson, NV 89053-0010

Ph: (702) 492-7208
9975 S Eastern Ave, Suite 110,
Las Vegas, NV 89183-7949

Ph: (702) 361-2273

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.