Dominic Mason Etli, APRN in Las Vegas, NV - Medicare Nurse Practitioner

Dominic Mason Etli, APRN is a medicare enrolled "Nurse Practitioner" in Las Vegas, Nevada. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice American Current Care Pa and his current practice location is 540 N Nellis Blvd, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 877-5199.

Dominic Mason Etli is licensed to practice in Nevada (license number APRN002559) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962934885.

Contact Information

	Dominic Mason Etli, APRN
	540 N Nellis Blvd, Las Vegas, NV 89110-5368
	(702) 877-5199
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominic Mason Etli
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	540 N Nellis Blvd, Las Vegas, Nevada
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dominic Mason Etli graduated from nursing school in 2017

NPI Data:

NPI Number: 1962934885
Provider Enumeration Date: 03/30/2017
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9335419522
Enrollment ID: I20190315000768

Medical Identifiers

Medical identifiers for Dominic Mason Etli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962934885	NPI	-	NPPES
V59731	Other	NV	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	APRN002559 (Nevada)	Secondary
163W00000X	Registered Nurse	74214 (Nevada)	Secondary
363LF0000X	Nurse Practitioner - Family	002559 (Nevada)	Secondary
363L00000X	Nurse Practitioner	APRN002559 (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Current Care Pa	9739260019	411

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dominic Mason Etli allows following entities to bill medicare on his behalf.

Entity Name	Southwest Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102

Entity Name	Optum Medical Group Ii Rhodes P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770

Entity Name	American Current Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275714677 PECOS PAC ID: 9739260019 Enrollment ID: O20090304000266

Entity Name	Yang Medical Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538729322 PECOS PAC ID: 7315275773 Enrollment ID: O20190822002079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominic Mason Etli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dominic Mason Etli, APRN 509 Ruby Vista Ct, Las Vegas, NV 89144-4101 Ph: () -	Dominic Mason Etli, APRN 540 N Nellis Blvd, Las Vegas, NV 89110-5368 Ph: (702) 877-5199

Reviews and Comments

Nurse Practitioner Nurses in Las Vegas, NV

Dena Kae Meeter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7455 W Washington Ave, #160, Las Vegas, NV 89128 Phone: 702-878-0393 Fax: 702-940-5601
Vanesa Francis Cheng, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9550 S Eastern Ave Ste 253, Las Vegas, NV 89123 Phone: 888-803-3370 Fax: 661-634-1040
Ms. Lotis Gay Perilla Edano, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2545 S Bruce St Ste 200, Las Vegas, NV 89169 Phone: 702-732-2438 Fax: 702-733-7876
Jann Stacey Pickens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4506 Fax: 702-388-4810
Tamaris Samantha Cotta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148 Phone: 702-366-1268 Fax: 702-366-7079
Tasha Gouin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148 Phone: 702-430-5333
Aric Pedro Adaoag, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9816 Gilespie St Ste 550, Las Vegas, NV 89183 Phone: 702-202-6336 Fax: 702-202-6318

Dominic Mason Etli, APRN - Medicare Nurse Practitioner in Las Vegas, NV