| Assurance Services Llc | |
|
235 N Eastern Ave Ste 102 Las Vegas NV 89101-4544 | |
| (702) 333-1054 | |
| (702) 608-7752 |
| Full Name | Assurance Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 235 N Eastern Ave Ste 102, Las Vegas, Nevada |
| Authorized Official Name and Position | Craig Duerson (MANAGING PARTNER) |
| Authorized Official Contact | 7028206186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assurance Services Llc 6935 Aliante Pkwy Ste 104-421 North Las Vegas NV 89084-5818 Ph: (702) 333-1054 | Assurance Services Llc 235 N Eastern Ave Ste 102 Las Vegas NV 89101-4544 Ph: (702) 333-1054 |
| NPI Number | 1053804161 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 3476895004 |
|---|---|
| Medicare Enrollment ID | O20190506000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053804161 | NPI | - | NPPES |
| 1053804161 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | David T Le Baron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699985887 PECOS PAC ID: 5991047235 Enrollment ID: I20190507000577 |
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