Dr Jeffrey A Sorensen, MD | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-3051 | |
Not Available |
Full Name | Dr Jeffrey A Sorensen |
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Gender | Male |
Speciality | Otolaryngology |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578805651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 036161098 (Illinois) | Secondary |
207Y00000X | Otolaryngology | 23141 (Nevada) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
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Dr Jeffrey A Sorensen, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3051 | Dr Jeffrey A Sorensen, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3051 |
Michael Clampitt, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Guillermo Jose Tellez, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 Phone: 702-653-2000 Fax: 702-653-3398 | |
Anna X Tsai, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3051 |