Dr Irene Mary Bourgault, DO | |
3150 N Tenaya Way, 660, Las Vegas, NV 89128-0443 | |
(702) 648-6228 | |
(702) 648-9868 |
Full Name | Dr Irene Mary Bourgault |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 42 Years |
Location | 3150 N Tenaya Way, 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 |
---|---|---|---|
1164562120 | NPI | - | NPPES |
002002873 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 350 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Irene M. Bourgault Do Pc | 0446220560 | 2 |
Entity Name | Irene M. Bourgault Do Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255511739 PECOS PAC ID: 0446220560 Enrollment ID: O20040727001373 |
Mailing Address | Practice Location Address |
---|---|
Dr Irene Mary Bourgault, DO 3150 N Tenaya Way, 660, Las Vegas, NV 89128-0443 Ph: (702) 648-6228 | Dr Irene Mary Bourgault, DO 3150 N Tenaya Way, 660, Las Vegas, NV 89128-0443 Ph: (702) 648-6228 |
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 |