Michael J Petruso, MD | |
2704 N Tenaya Way, Suite 400, Las Vegas, NV 89128-0424 | |
(702) 243-8500 | |
Not Available |
Full Name | Michael J Petruso |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2704 N Tenaya Way, 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 |
---|---|---|---|
1336112382 | NPI | - | NPPES |
VWCGZT | Other | NV | MEDICARE GROUP |
V24262 | Other | NV | LAB |
1336112382 | Other | NV | SMA MEDICAID |
2019102 | Medicaid | NV | |
V108716 | Other | NV | SMA MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 6283 (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 |
Mailing Address | Practice Location Address |
---|---|
Michael J Petruso, MD Po Box 15645, Suite 150, Las Vegas, NV 89114-5645 Ph: (702) 243-8500 | Michael J Petruso, MD 2704 N Tenaya Way, Suite 400, Las Vegas, NV 89128-0424 Ph: (702) 243-8500 |
Dr. Arshi A. Quadeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1581 Mount Mariah Dr Ste 150, Las Vegas, NV 89106 Phone: 702-851-7766 Fax: 702-851-7760 | |
Cherie Lin, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3006 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109 Phone: 702-369-5582 Fax: 702-369-1533 | |
Michael M Lee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-921-6823 Fax: 702-549-5240 | |
Henry Palangdao Igid, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 653 N Town Center Dr Ste 402, Las Vegas, NV 89144 Phone: 702-243-7200 Fax: 702-243-7235 | |
Ian Adrian Fanoga Frani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 702-383-3875 | |
Nisha Ajay Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3540 W Sahara Ave # 330, Las Vegas, NV 89102 Phone: 803-729-0793 | |
Sein Tun, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4000 |