Kristian Derek Burgess, DO | |
786 W Pioneer Blvd Ste A, Mesquite, NV 89027-8862 | |
(702) 345-5000 | |
(702) 345-2000 |
Full Name | Kristian Derek Burgess |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 786 W Pioneer Blvd Ste A, Mesquite, 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 |
---|---|---|---|
1457844292 | NPI | - | NPPES |
1457844292 | Medicaid | NV | |
OT018627 | Medicaid | PA | |
DO2931 | Other | NV | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OT018627 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | DO2931 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Medical Holdings Nevada Inc | 7416054622 | 291 |
Entity Name | Healthcare Partners Medical Group Coats Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898 |
Entity Name | Intermountain Medical Holdings Nevada Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245997279 PECOS PAC ID: 7416054622 Enrollment ID: O20220214001765 |
Mailing Address | Practice Location Address |
---|---|
Kristian Derek Burgess, DO 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 Ph: (702) 216-3346 | Kristian Derek Burgess, DO 786 W Pioneer Blvd Ste A, Mesquite, NV 89027-8862 Ph: (702) 345-5000 |
Maile Naomi Akiko Kane, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 786 W Pioneer Blvd Ste A, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 | |
Dr. Philip Hartwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N Sandhill Blvd, Mesquite, NV 89027 Phone: 702-849-0558 Fax: 702-346-2147 | |
Brandon J Stilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 786 W Pioneer Blvd Ste A, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 | |
Prof. Nelladee Street, F.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027 Phone: 702-346-0800 Fax: 702-346-0801 | |
Mr. Frank Joseph Seck, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 786 W Pioneer Blvd Ste A, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 |