| Joseph P Hickey, FNP-BC | |
|
5820 S. Eastern, Lifestyle Center, Las Vegas, NV 89119 | |
| (702) 797-2353 | |
| Not Available |
| Full Name | Joseph P Hickey |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 5820 S. Eastern, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942386776 | NPI | - | NPPES |
| 1942386776 | Medicaid | NV | |
| V108918 | Other | NV | SMACC MEDICARE |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P Hickey, FNP-BC Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 579-3298 | Joseph P Hickey, FNP-BC 5820 S. Eastern, Lifestyle Center, Las Vegas, NV 89119 Ph: (702) 797-2353 |
Meseret Dasilva, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2950 E Flamingo Rd Ste H, Las Vegas, NV 89121 Phone: 725-251-3854 | |
Sara Azevedo Donovan,, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4040 S Eastern Ave Ste 300, Las Vegas, NV 89119 Phone: 702-463-0300 | |
Sheria Lashanette Ingram, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7101 Smoke Ranch Rd 2076, Las Vegas, NV 89128 Phone: 216-854-9879 | |
Mariyah L Campbell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3930 Howard Hughes Pkwy Ste 300, Las Vegas, NV 89169 Phone: 702-560-2192 | |
Jayde Alise Gilham, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3930 Howard Hughes Pkwy Ste 300, Las Vegas, NV 89169 Phone: 702-560-2192 | |
Mya Wood-johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4040 S Eastern Ave Ste 300, Las Vegas, NV 89119 Phone: 702-463-0300 | |
Romina Bonne, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4423 W Flamingo Rd, Las Vegas, NV 89103 Phone: 702-458-1137 Fax: 702-458-1423 |