Tania Morales Miedico, MD | |
2704 N Tenaya Way, Suite 200, Las Vegas, NV 89128-0424 | |
(702) 243-8500 | |
(702) 560-2928 |
Full Name | Tania Morales Miedico |
---|---|
Gender | Female |
Speciality | Family 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 |
---|---|---|---|
1255484390 | NPI | - | NPPES |
000320600 | Medicaid | FL | |
1255484390 | Medicaid | NV | |
CX4402 | Other | NV | MEDICARE SMA |
92196 | Other | FL | BCBS |
1255484390 | Other | NV | MEDICAID SMA |
13380 | Other | NV | NV STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME96208 (Florida) | 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 |
---|---|
Tania Morales Miedico, MD Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 243-8500 | Tania Morales Miedico, MD 2704 N Tenaya Way, Suite 200, Las Vegas, NV 89128-0424 Ph: (702) 243-8500 |
Nittu Singh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113 Phone: 702-952-9171 Fax: 702-952-9170 | |
Dr. Alan Michael Zeto Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8263 | |
Dr. Kevin Ray Buckwalter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128 Phone: 702-568-8450 Fax: 702-568-8451 | |
Frederick J Lippmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5785 Centennial Center Blvd Ste 230, Las Vegas, NV 89149 Phone: 702-383-2273 Fax: 702-366-0570 | |
Dr. Constance Brown, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121 Phone: 702-606-8737 Fax: 702-485-5212 | |
Dr. Chad Robinson Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470 | |
Komal Dhanoa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2580c Teddy Drive, Las Vegas, NV 89102 Phone: 702-968-3270 Fax: 702-949-6202 |