| Benjamin Portillo-dominguez, PA-C | |
|
555 N Arlington Ave, Reno, NV 89503-4723 | |
| (775) 786-3040 | |
| Not Available |
| Full Name | Benjamin Portillo-dominguez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 555 N Arlington Ave, Reno, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528632718 | NPI | - | NPPES |
| 15653680 | Other | CAQH | |
| 250021350 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2707 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Portillo-dominguez, PA-C 555 N Arlington Ave, Reno, NV 89503-4723 Ph: (775) 786-3040 | Benjamin Portillo-dominguez, PA-C 555 N Arlington Ave, Reno, NV 89503-4723 Ph: (775) 786-3040 |
Shaylee Nystrom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5578 Longley Ln, Reno, NV 89511 Phone: 775-284-8650 | |
Logan Bode Howard, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10635 Professional Cir Ste A, Reno, NV 89521 Phone: 775-852-0505 Fax: 775-852-0508 | |
Gretchen Goicoechea, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Pringle Way, Suite 401, Reno, NV 89502 Phone: 775-688-8000 Fax: 775-688-8031 | |
Julio A Meza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7111 S Virginia St Ste D2, Reno, NV 89511 Phone: 775-870-1230 Fax: 833-606-1557 | |
Jonathan C Morgan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 235 W 6th St, Reno, NV 89503 Phone: 775-746-3202 Fax: 775-746-1904 | |
Karie King, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 555 N Arlington Ave, Reno, NV 89503 Phone: 775-786-3040 Fax: 775-348-3051 | |
Cloe Jade Jeans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5578 Longley Ln, Reno, NV 89511 Phone: 775-284-8650 |