Tyler Witzel, DO | |
6710 N Durango Dr, Las Vegas, NV 89149-4408 | |
(702) 216-3346 | |
(702) 671-6883 |
Full Name | Tyler Witzel |
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Gender | Male |
Speciality | Family Medicine |
Location | 6710 N Durango Dr, 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 |
---|---|---|---|
1972908150 | NPI | - | NPPES |
1972908150 | Medicaid | NV | |
23869 | Other | NV | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP60949403 (Washington) | Secondary |
207Q00000X | Family Medicine | 23869 (Nevada) | Primary |
Entity Name | Intermountain Medical Holdings Nevada Inc |
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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 |
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Tyler Witzel, DO 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 Ph: (702) 216-3346 | Tyler Witzel, DO 6710 N Durango Dr, Las Vegas, NV 89149-4408 Ph: (702) 216-3346 |
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: 3540 W Sahara Ave, Las Vegas, NV 89102 Phone: 702-921-6823 | |
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 |