Knef V Lizaso Jr, | |
620 Shadow Ln, Las Vegas, NV 89106-4119 | |
(702) 388-4500 | |
Not Available |
Full Name | Knef V Lizaso Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 620 Shadow Ln, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396799532 | NPI | - | NPPES |
00A697790 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 11684 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Little Co Of Mary Med Ctr San Pedro | San pedro, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Emergency Medical Group | 4688097066 | 17 |
Entity Name | Stephen R Shea Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942239033 PECOS PAC ID: 7416854377 Enrollment ID: O20040422001706 |
Entity Name | Intercommunity Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
Entity Name | Southern California Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518588433 PECOS PAC ID: 4688097066 Enrollment ID: O20200701001805 |
Mailing Address | Practice Location Address |
---|---|
Knef V Lizaso Jr, 28610 Cedarbluff Dr, Rancho Palos Verdes, CA 90275-3114 Ph: (310) 529-9028 | Knef V Lizaso Jr, 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: (702) 388-4500 |
Dr. Andrew E Sheep, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 542 Las Ocas Ct, Las Vegas, NV 89138 Phone: 267-209-3255 | |
William Chase Madsen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-1958 | |
Dr. Kay E Mcmillan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4500 | |
Timothy Vanduzer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Rainbow Blvd, Suite 203, Las Vegas, NV 89107 Phone: 702-259-1228 Fax: 702-259-1272 | |
Dr. Henry R Landsman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10055 Canyon Hills Ave, Las Vegas, NV 89148 Phone: 702-497-0424 | |
Angel Li, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113 Phone: 702-233-7481 | |
Dr. Roya Laura Mahana, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-961-5000 |