Pamela Hollis, | |
5412 Boulder Hwy, Las Vegas, NV 89122-6039 | |
(702) 291-2171 | |
Not Available |
Full Name | Pamela Hollis |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 19 Years |
Location | 5412 Boulder Hwy, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346432374 | NPI | - | NPPES |
6009224 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7420-C (Nevada) | Secondary |
1041C0700X | Social Worker - Clinical | C008008 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vitae Health Of Illinois Llc | 2365798410 | 149 |
Entity Name | Vitae Health Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
---|---|
Pamela Hollis, 8512 Arco Iris Ln, Las Vegas, NV 89128-7951 Ph: (704) 692-9596 | Pamela Hollis, 5412 Boulder Hwy, Las Vegas, NV 89122-6039 Ph: (702) 291-2171 |
Mrs. Marysol Rezanov, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4170 S Decatur Blvd Ste C1, Las Vegas, NV 89103 Phone: 702-659-8827 Fax: 702-852-0984 | |
Arthur Tabrizi, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6543 Las Vegas Blvd S Unit 200, Las Vegas, NV 89119 Phone: 702-933-9535 | |
Megan Rae Mercado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9565 Dollardton St, Las Vegas, NV 89139 Phone: 310-634-5506 | |
Mr. David Alexander Sturgeon, CSW-INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7381 Prairie Falcon Rd, Las Vegas, NV 89128 Phone: 702-468-1321 Fax: 702-396-0015 | |
Mrs. Pamela Rinato, LCSW, PSYD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3371 N Buffalo Drive, Las Vegas, NV 89129 Phone: 702-515-1374 Fax: 702-331-3098 | |
Latoyia Kurbane Griffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 S Rainbow Blvd Unit 82251, Las Vegas, NV 89180 Phone: 702-485-0430 | |
Mr. Gerald R Earl, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3131 La Canada St Ste 216, Las Vegas, NV 89109 Phone: 702-636-3000 |