Well Care Services | |
5412 Boulder Hwy Las Vegas NV 89122-6039 | |
(702) 576-9545 | |
Not Available |
Full Name | Well Care Services |
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Speciality | Community/Behavioral Health |
Location | 5412 Boulder Hwy, Las Vegas, Nevada |
Authorized Official Name and Position | Frances Malinis (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7024107825 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Well Care Services 5412 Boulder Hwy Las Vegas NV 89122-6039 Ph: (702) 576-9545 | Well Care Services 5412 Boulder Hwy Las Vegas NV 89122-6039 Ph: (702) 576-9545 |
NPI Number | 1871915892 |
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Provider Enumeration Date | 01/10/2014 |
Last Update Date | 07/31/2019 |
Medicare PECOS PAC ID | 9739437815 |
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Medicare Enrollment ID | O20180806002709 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871915892 | NPI | - | NPPES |
Provider Name | Damon C Zavala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437122835 PECOS PAC ID: 5294784567 Enrollment ID: I20050113001011 |
Provider Name | Priti V Narula |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831292713 PECOS PAC ID: 0143227835 Enrollment ID: I20061020000451 |
Provider Name | Patricia A Romo Macaluso |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780627851 PECOS PAC ID: 8820194806 Enrollment ID: I20070508000539 |
Provider Name | Larry Noble |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1184644056 PECOS PAC ID: 7618077470 Enrollment ID: I20070709000251 |
Provider Name | Maria A Faylona |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770677676 PECOS PAC ID: 5193898542 Enrollment ID: I20080923000123 |
Provider Name | Judith L Bernardo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750603379 PECOS PAC ID: 6608907126 Enrollment ID: I20100628000720 |
Provider Name | Marian M Orr |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083818975 PECOS PAC ID: 9830214667 Enrollment ID: I20100917001052 |
Provider Name | Lisa A Vancil |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629382676 PECOS PAC ID: 4082893607 Enrollment ID: I20110127000624 |
Provider Name | Zelluyah W Gaitho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659672939 PECOS PAC ID: 2961685268 Enrollment ID: I20110324000137 |
Provider Name | Stephen P Dubin |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1023311040 PECOS PAC ID: 2163405556 Enrollment ID: I20110519000372 |
Provider Name | Daniel Park |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124201801 PECOS PAC ID: 0749451136 Enrollment ID: I20110915000061 |
Provider Name | Nicole C Okeke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164752879 PECOS PAC ID: 7810158300 Enrollment ID: I20120410000262 |
Provider Name | Faisal Suba |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598965998 PECOS PAC ID: 9234392341 Enrollment ID: I20120529000223 |
Provider Name | Rodrigo L Farrales |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235379678 PECOS PAC ID: 6305985805 Enrollment ID: I20120918000397 |
Provider Name | Juliana Alegre Palijo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487995965 PECOS PAC ID: 5698913739 Enrollment ID: I20130530000484 |
Provider Name | Marilou Abellana Mendoza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528307659 PECOS PAC ID: 2961644901 Enrollment ID: I20130805000276 |
Provider Name | Maria C Magtoto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457763849 PECOS PAC ID: 6709048465 Enrollment ID: I20150914002614 |
Provider Name | Ike M Ekekwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699146464 PECOS PAC ID: 3274834775 Enrollment ID: I20151228001734 |
Provider Name | Uzoma Osuchukwu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063760411 PECOS PAC ID: 6002136249 Enrollment ID: I20160411001516 |
Provider Name | Marguarette J Suprien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881051415 PECOS PAC ID: 4082913751 Enrollment ID: I20160502000505 |
Provider Name | Pius E Ehiane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962801951 PECOS PAC ID: 8022313865 Enrollment ID: I20160510002342 |
Provider Name | Leesha R Bitto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124410105 PECOS PAC ID: 8022308295 Enrollment ID: I20160531000700 |
Provider Name | Susan K Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881994895 PECOS PAC ID: 6507152998 Enrollment ID: I20160912001193 |
Provider Name | Dawn L Starks Ball |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962693465 PECOS PAC ID: 9234427675 Enrollment ID: I20161018000803 |
Provider Name | Raven D Ennis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407278757 PECOS PAC ID: 6507146651 Enrollment ID: I20161206001905 |
Provider Name | Jon Failla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326474685 PECOS PAC ID: 1557645546 Enrollment ID: I20170313001471 |
Provider Name | Ying-chia Cheng |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811257058 PECOS PAC ID: 6002036795 Enrollment ID: I20170621002933 |
Provider Name | Sam Zand |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528485570 PECOS PAC ID: 1557581352 Enrollment ID: I20170822003558 |
Provider Name | Trina Lashelle Singleterry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417487547 PECOS PAC ID: 7810262128 Enrollment ID: I20171011003417 |
Provider Name | Elaine Dimalanta Guiang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174034482 PECOS PAC ID: 0345506192 Enrollment ID: I20171109003583 |
Provider Name | Jamie Lee Cichon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346530425 PECOS PAC ID: 3375854953 Enrollment ID: I20171221002516 |
Provider Name | Melissa Vega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114425485 PECOS PAC ID: 0446511489 Enrollment ID: I20180307002296 |
Provider Name | Christine Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851894489 PECOS PAC ID: 5890057400 Enrollment ID: I20180320000530 |
Provider Name | Jessica M Bledsoe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245733039 PECOS PAC ID: 2264796978 Enrollment ID: I20180504001537 |
Provider Name | Tanya Sara Anne Temple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336536804 PECOS PAC ID: 1850605700 Enrollment ID: I20180510000383 |
Provider Name | Michael Palma Casal |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1568551638 PECOS PAC ID: 8921039447 Enrollment ID: I20180614001116 |
Provider Name | Megan Queral |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992180244 PECOS PAC ID: 8426306457 Enrollment ID: I20180807002119 |
Provider Name | Jason M Castillo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013335959 PECOS PAC ID: 2567681547 Enrollment ID: I20181010003709 |
Provider Name | Daryl Jordan Yann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134607237 PECOS PAC ID: 8921350448 Enrollment ID: I20181011001381 |
Provider Name | Carrissia Feaster |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1740695352 PECOS PAC ID: 1355560640 Enrollment ID: I20181221002095 |
Provider Name | Julie Westwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124598818 PECOS PAC ID: 7315285699 Enrollment ID: I20190212001215 |
Provider Name | Dina Alzadon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962982728 PECOS PAC ID: 9032458492 Enrollment ID: I20190228002691 |
Provider Name | Elias Lu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417956848 PECOS PAC ID: 9537192406 Enrollment ID: I20190325000678 |
Provider Name | Ruel L Mariano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114481785 PECOS PAC ID: 3476893504 Enrollment ID: I20190327001362 |
Provider Name | Suzann Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619247681 PECOS PAC ID: 3274875208 Enrollment ID: I20190423002252 |
Provider Name | Shauna-dean Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982150892 PECOS PAC ID: 6709162092 Enrollment ID: I20190528000844 |
Provider Name | Michael Todd Mathisen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114487881 PECOS PAC ID: 0648504605 Enrollment ID: I20190625001488 |
Provider Name | Michael Popov |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518351097 PECOS PAC ID: 0244546505 Enrollment ID: I20190626003953 |
Provider Name | Melanie Celeste Lasseigne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598292666 PECOS PAC ID: 5193051209 Enrollment ID: I20190727000094 |
Provider Name | Reza Goravanchi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861886830 PECOS PAC ID: 1658687819 Enrollment ID: I20190802002111 |
Provider Name | Justin Petrie |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164816443 PECOS PAC ID: 1658687926 Enrollment ID: I20190805002007 |
Provider Name | Abigail Kathryn Anderson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477001337 PECOS PAC ID: 7214266451 Enrollment ID: I20190912002385 |
Provider Name | Ernesto J Isman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326535683 PECOS PAC ID: 9638408792 Enrollment ID: I20190916000816 |
Provider Name | Phyllis Yvonne Montavon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235364522 PECOS PAC ID: 5395075550 Enrollment ID: I20191001002480 |
Provider Name | Jeannie Gaye |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437548864 PECOS PAC ID: 8022348101 Enrollment ID: I20191003000371 |
Provider Name | Veronica Perez-kahl |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427315019 PECOS PAC ID: 8921339938 Enrollment ID: I20191004002561 |
Provider Name | Audra Omwanghe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518415132 PECOS PAC ID: 6103157128 Enrollment ID: I20191004003082 |
Provider Name | Jordan I Carley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215363213 PECOS PAC ID: 0244562247 Enrollment ID: I20191024000236 |
Provider Name | Marie Luback-neves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023401999 PECOS PAC ID: 2860824091 Enrollment ID: I20191108002554 |
Provider Name | Adewale Musiliyu Busari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942861950 PECOS PAC ID: 0042450033 Enrollment ID: I20191119002622 |
Provider Name | Pius Atu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760025969 PECOS PAC ID: 7214360650 Enrollment ID: I20191126000044 |
Provider Name | Heidi Wesbrock |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598135279 PECOS PAC ID: 8628401254 Enrollment ID: I20191211003095 |
Provider Name | Natalie J Mcmillen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053616391 PECOS PAC ID: 1557797933 Enrollment ID: I20200203001354 |
Provider Name | Bonnie Sue Betts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306821129 PECOS PAC ID: 5395633101 Enrollment ID: I20200304002909 |
Provider Name | Johann Sprenger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255796934 PECOS PAC ID: 7618306655 Enrollment ID: I20200326002526 |
Provider Name | Daniel Garrido Arsulo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003303991 PECOS PAC ID: 4284063033 Enrollment ID: I20200331001292 |
Provider Name | Francisco Gonzalez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417303124 PECOS PAC ID: 1850721077 Enrollment ID: I20200430000764 |
Provider Name | Fernando Mendez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720472327 PECOS PAC ID: 2264710839 Enrollment ID: I20200722001820 |
Provider Name | Mavis B Major |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750552584 PECOS PAC ID: 2365868197 Enrollment ID: I20200811002843 |
Provider Name | Shaheen Waqar Ahmad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205447406 PECOS PAC ID: 2062830516 Enrollment ID: I20200915001836 |
Provider Name | Bonnie Sue Betts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083852206 PECOS PAC ID: 0749691491 Enrollment ID: I20201201001922 |
Provider Name | Jasmine Manocha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205444510 PECOS PAC ID: 8628484557 Enrollment ID: I20210301002032 |
Provider Name | Jamie P Ucci |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174116735 PECOS PAC ID: 3870900525 Enrollment ID: I20210325001740 |
Provider Name | Rachel Coffman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053428524 PECOS PAC ID: 5799192308 Enrollment ID: I20210326002307 |
Provider Name | Kaiwen Jiang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366035750 PECOS PAC ID: 0648687103 Enrollment ID: I20210329001962 |
Provider Name | Victoria R Richards |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730658303 PECOS PAC ID: 0143639369 Enrollment ID: I20210429000735 |
Provider Name | Aubree Welsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215498654 PECOS PAC ID: 6002216793 Enrollment ID: I20210617001230 |
Provider Name | Gina J Azevedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609487776 PECOS PAC ID: 1254737547 Enrollment ID: I20210913001393 |
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