Diabetic Life Academy, Llc is a
Durable Medical Equipment & Medical Supplies based in Las Vegas, Nevada. Diabetic Life Academy, Llc is licensed to practice in Nevada (license number 2000394-810) and their current practice location is
4270 S. Decatur Blvd., Suite B-1b, Las Vegas, Nevada. It can be reached at their office (for appointments etc.) via phone at
(702) 880-9500.
NPI number for Diabetic Life Academy, Llc is 1861701062 and their current mailing address is 4270 S. Decatur Blvd., Suite B-1b, Las Vegas, Nevada. Diabetic Life Academy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861701062.
Healthcare Provider's Profile
Full Name | Diabetic Life Academy, Llc |
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Type | Facility |
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Speciality | Durable Medical Equipment & Medical Supplies |
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Location | 4270 S. Decatur Blvd., Las Vegas, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861701062
- Provider Enumeration Date: 10/05/2010
- Last Update Date: 01/14/2011
Medical Identifiers
Medical identifiers for Diabetic Life Academy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861701062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2061-0219 (Nevada) | Secondary |
305S00000X | Point Of Service | 2061-0219 (Nevada) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | 2000394-810 (Nevada) | Primary |
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. Diabetic Life Academy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diabetic Life Academy, Llc 4270 S. Decatur Blvd., Suite B-1b, Las Vegas, NV 89103-6800 Ph: (702) 880-9500 | Diabetic Life Academy, Llc 4270 S. Decatur Blvd., Suite B-1b, Las Vegas, NV 89103-6800 Ph: (702) 880-9500 |
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