| Rosa Bellota Md Pc Inc | |
|
5940 S Rainbow Blvd Ste 2003 Las Vegas NV 89118-2540 | |
| (702) 987-6174 | |
| (702) 253-1468 |
| Full Name | Rosa Bellota Md Pc Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5940 S Rainbow Blvd Ste 2003, Las Vegas, Nevada |
| Authorized Official Name and Position | Rosa Bellota (PRESIDENT) |
| Authorized Official Contact | 7029876174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosa Bellota Md Pc Inc 5940 S Rainbow Blvd Ste 2003 Las Vegas NV 89118-2540 Ph: (702) 987-6174 | Rosa Bellota Md Pc Inc 5940 S Rainbow Blvd Ste 2003 Las Vegas NV 89118-2540 Ph: (702) 987-6174 |
| NPI Number | 1891195988 |
|---|---|
| Provider Enumeration Date | 08/26/2014 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 6608118153 |
|---|---|
| Medicare Enrollment ID | O20190502000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891195988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dithra Ann Cotton-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487159182 PECOS PAC ID: 0749539161 Enrollment ID: I20180817002985 |
| Provider Name | Rosa Bellota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811280183 PECOS PAC ID: 7416299961 Enrollment ID: I20190730001458 |
| Provider Name | Sharon Marjorie Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386267466 PECOS PAC ID: 1759794340 Enrollment ID: I20210616002127 |
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