Antonette Vergara, APRN | |
1569 E Flamingo Rd, Las Vegas, NV 89119-5321 | |
(702) 476-9999 | |
(702) 946-1343 |
Full Name | Antonette Vergara |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1569 E Flamingo Rd, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376083394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN002468 (Nevada) | Secondary |
163WP0000X | Registered Nurse - Pain Management | APRN002468 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coppel Medical Enterprise Llc | 8921140641 | 18 |
Entity Name | Coppel Medical Enterprise Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184957268 PECOS PAC ID: 8921140641 Enrollment ID: O20100119000422 |
Mailing Address | Practice Location Address |
---|---|
Antonette Vergara, APRN 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 Ph: (702) 476-9999 | Antonette Vergara, APRN 1569 E Flamingo Rd, Las Vegas, NV 89119-5321 Ph: (702) 476-9999 |
Deborah Kay Kolk, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 204 Depaul Ct, Las Vegas, NV 89144 Phone: 702-254-2029 | |
Judy C Mceachern, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 E Charleston Blvd, Ste 230, Las Vegas, NV 89104 Phone: 702-968-4020 Fax: 702-968-4040 | |
Mr. Rustin Jin Park, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 E Charleston Blvd, Suite 130, Las Vegas, NV 89104 Phone: 702-968-4020 Fax: 702-968-4040 | |
Karen Toney, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6701 Del Rey Ave, Apt 129, Las Vegas, NV 89146 Phone: 702-673-0302 | |
Julie Smink, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9177 Herrera Ave, Las Vegas, NV 89129 Phone: 702-525-5857 | |
Tina Yaeger, RN, LMT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4575 Dean Martin Dr, #3009, Las Vegas, NV 89103 Phone: 734-735-5353 | |
Quierra C Kocher, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2950 E Flamingo Rd, Las Vegas, NV 89121 Phone: 725-251-3854 |