Quickmd Medical Group Pa | |
504 San Pablo Dr Apt 202 Las Vegas NV 89104-2737 | |
(888) 878-4256 | |
Not Available |
Full Name | Quickmd Medical Group Pa |
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Speciality | Internal Medicine |
Location | 504 San Pablo Dr Apt 202, Las Vegas, Nevada |
Authorized Official Name and Position | Katrina Merritt (SENIOR MANAGER, CREDENTIALING) |
Authorized Official Contact | 8135965726 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quickmd Medical Group Pa 3865 Holcomb Bridge Rd Peachtree Corners GA 30092-2205 Ph: (888) 878-4256 | Quickmd Medical Group Pa 504 San Pablo Dr Apt 202 Las Vegas NV 89104-2737 Ph: (888) 878-4256 |
NPI Number | 1356061881 |
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Provider Enumeration Date | 09/02/2022 |
Last Update Date | 01/15/2024 |
Certification Date | 01/15/2024 |
Medicare PECOS PAC ID | 2961898648 |
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Medicare Enrollment ID | O20221003000791 |
Identifier | Type | State | Issuer |
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1356061881 | NPI | - | NPPES |
Provider Name | Monivirin Son |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699751776 PECOS PAC ID: 3678545241 Enrollment ID: I20170816003624 |
Provider Name | Michael Chan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700151958 PECOS PAC ID: 4183944655 Enrollment ID: I20200610002473 |
Provider Name | Shahzad Chaudhary |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700265030 PECOS PAC ID: 3779835103 Enrollment ID: I20221003000958 |
Provider Name | Anne Tintinalli |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639124126 PECOS PAC ID: 5193771962 Enrollment ID: I20221003001128 |
Provider Name | Patrick Hsu |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174011530 PECOS PAC ID: 0143626770 Enrollment ID: I20221203000187 |
Provider Name | Michael John Schiesser |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215092507 PECOS PAC ID: 7911974449 Enrollment ID: I20230206000703 |
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