Brent Devera, | |
650 N Nellis Blvd, Las Vegas, NV 89110 | |
(702) 790-8000 | |
Not Available |
Full Name | Brent Devera |
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Gender | Male |
Speciality | Family Medicine |
Location | 650 N Nellis Blvd, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609134048 | NPI | - | NPPES |
1609134048 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO1958 (Nevada) | Primary |
Entity Name | Southwest Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
Entity Name | Centerwell Senior Primary Care (nv) Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285257667 PECOS PAC ID: 5092132340 Enrollment ID: O20200901001111 |
Mailing Address | Practice Location Address |
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Brent Devera, 650 N Nellis Blvd, Las Vegas, NV 89110-5382 Ph: (702) 790-8000 | Brent Devera, 650 N Nellis Blvd, Las Vegas, NV 89110 Ph: (702) 790-8000 |
Nittu Singh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113 Phone: 702-952-9171 Fax: 702-952-9170 | |
Dr. Alan Michael Zeto Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8263 | |
Dr. Kevin Ray Buckwalter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128 Phone: 702-568-8450 Fax: 702-568-8451 | |
Frederick J Lippmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5785 Centennial Center Blvd Ste 230, Las Vegas, NV 89149 Phone: 702-383-2273 Fax: 702-366-0570 | |
Dr. Constance Brown, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121 Phone: 702-606-8737 Fax: 702-485-5212 | |
Dr. Chad Robinson Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470 | |
Komal Dhanoa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2580c Teddy Drive, Las Vegas, NV 89102 Phone: 702-968-3270 Fax: 702-949-6202 |