Jeroen Pieter Balledux, MD | |
3196 S Maryland Pkwy Ste 425, Las Vegas, NV 89109-2318 | |
(725) 205-0725 | |
(725) 204-5251 |
Full Name | Jeroen Pieter Balledux |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 32 Years |
Location | 3196 S Maryland Pkwy Ste 425, 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 |
---|---|---|---|
1548429954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 86853 (Georgia) | Secondary |
208200000X | Plastic Surgery | 20150 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sunrise Hospital And Medical Center | Las vegas, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sunrise Mountainview Multispecialty Clinics Llc | 1759469711 | 65 |
Entity Name | Sunrise Mountainview Multispecialty Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043402522 PECOS PAC ID: 1759469711 Enrollment ID: O20080416000581 |
Mailing Address | Practice Location Address |
---|---|
Jeroen Pieter Balledux, MD Po Box 100744, Atlanta, GA 30384-0744 Ph: () - | Jeroen Pieter Balledux, MD 3196 S Maryland Pkwy Ste 425, Las Vegas, NV 89109-2318 Ph: (725) 205-0725 |
Mr. Michael C Edwards, M.D., F.A.C.S. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8530 W. Sunset Road, Suite 130, Las Vegas, NV 89113 Phone: 702-822-2100 Fax: 702-822-2105 | |
Mitchell Lyons, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 9950 W Flamingo Rd Ste 105, Las Vegas, NV 89147 Phone: 702-998-9001 Fax: 702-998-8282 | |
Dr. Stephen Winslow Gordon, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 706-863-9595 Fax: 706-868-8375 | |
Carl N Williams Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2020 Wellness Way Ste 501, Las Vegas, NV 89106 Phone: 702-259-3223 Fax: 702-259-0101 | |
Joshua J Goldman, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1701 W Charleston Blvd Ste 190, Las Vegas, NV 89102 Phone: 702-671-5110 | |
Eric Krantz, APRN Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2020 Wellness Way Ste 504, Las Vegas, NV 89106 Phone: 561-271-3491 Fax: 702-259-9595 | |
John Patrick Brosious, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 341 N Buffalo Dr Ste B, Las Vegas, NV 89145 Phone: 702-727-8500 Fax: 702-444-2461 |