| Telemind Inc | |
|
800 N Rainbow Blvd Ste 215 Las Vegas NV 89107-1189 | |
| (725) 333-2411 | |
| (702) 952-5257 |
| Full Name | Telemind Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 N Rainbow Blvd Ste 215, Las Vegas, Nevada |
| Authorized Official Name and Position | Anton Fisher (CEO) |
| Authorized Official Contact | 7253332411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemind Inc 3227 Meade Ave Ste 5b Las Vegas NV 89102-7810 Ph: (725) 333-2411 | Telemind Inc 800 N Rainbow Blvd Ste 215 Las Vegas NV 89107-1189 Ph: (725) 333-2411 |
| NPI Number | 1891174132 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Medicare PECOS PAC ID | 4385945278 |
|---|---|
| Medicare Enrollment ID | O20190422002536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891174132 | NPI | - | NPPES |
| 1891174132 | Medicaid | NV |
| Provider Name | Anton Fisher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184997561 PECOS PAC ID: 8022320167 Enrollment ID: I20190424000181 |
| Provider Name | Lilian Enibokun Bamgbose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538750559 PECOS PAC ID: 3173901824 Enrollment ID: I20240718001524 |
| Provider Name | Adeola Serifat Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609416296 PECOS PAC ID: 1850701244 Enrollment ID: I20240730002918 |
| Provider Name | Joseph Motero Tonui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184364671 PECOS PAC ID: 9335516061 Enrollment ID: I20240802003421 |
| Provider Name | Jessica Korin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679157176 PECOS PAC ID: 4486051877 Enrollment ID: I20240813002088 |
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