Mr Carl Anthony Plaza, FNP-C in Las Vegas, NV

Mr Carl Anthony Plaza, FNP-C is a medicare enrolled "Nurse Practitioner" in Las Vegas, Nevada. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Optum Medical Group Ii Rhodes P C 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.

Mr Carl Anthony Plaza is licensed to practice in Nevada (license number 816592) 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 1790242543.

Contact Information

	Mr Carl Anthony Plaza, FNP-C
	540 N Nellis Blvd, Las Vegas, NV 89110-5368
	(702) 877-5199
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Carl Anthony Plaza
Gender	Male
Speciality	Nurse Practitioner
Experience	6 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:

Mr Carl Anthony Plaza graduated from nursing school in 2018

NPI Data:

NPI Number: 1790242543
Provider Enumeration Date: 02/28/2019
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 1850622374
Enrollment ID: I20191015002562

Medical Identifiers

Medical identifiers for Mr Carl Anthony Plaza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790242543	NPI	-	NPPES
V60791	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	816592 (Nevada)	Secondary
363L00000X	Nurse Practitioner	816592 (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Medical Group Ii Rhodes P C	4981687779	312

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. Mr Carl Anthony Plaza allows following entities to bill medicare on his behalf.

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

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. Mr Carl Anthony Plaza 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
Mr Carl Anthony Plaza, FNP-C Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 877-5199	Mr Carl Anthony Plaza, FNP-C 540 N Nellis Blvd, Las Vegas, NV 89110-5368 Ph: (702) 877-5199

Reviews and Comments

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Mr Carl Anthony Plaza, FNP-C - Medicare Nurse Practitioner in Las Vegas, NV