Festus Ebonka, | |
1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | |
(702) 515-9680 | |
(702) 685-9674 |
Full Name | Festus Ebonka |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1721 E Charleston 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932241007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN000902 (Nevada) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN000902 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eagle Home Health Agency, Inc | Las vegas, NV | Home health agency |
Entity Name | Nevada Integrated Behavioral Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457742975 PECOS PAC ID: 3678893781 Enrollment ID: O20150513000791 |
Entity Name | Ebonny Behavioral Care Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467801134 PECOS PAC ID: 5799067955 Enrollment ID: O20170123002742 |
Entity Name | Ebonny Ventures Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023680154 PECOS PAC ID: 2668876590 Enrollment ID: O20210813002055 |
Mailing Address | Practice Location Address |
---|---|
Festus Ebonka, 1721 E. Charleston Blvd., Las Vegas, NV 89104-1902 Ph: (702) 515-9680 | Festus Ebonka, 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 Ph: (702) 515-9680 |
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 |