Mr Mario Oliver Tablante Godoy, APRN NP-C - Medicare Nurse Practitioner in Las Vegas, NV

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Mr Mario Oliver Tablante Godoy, APRN NP-C is a medicare enrolled "Nurse Practitioner - Family" in Las Vegas, Nevada. He graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Doyne Medical Clinic Inc and his current practice location is 1706 W Bonanza Rd, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 631-6860.

Mr Mario Oliver Tablante Godoy is licensed to practice in Nevada (license number APRN001258) 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 1275822611.

Contact Information

Mr Mario Oliver Tablante Godoy, APRN NP-C
1706 W Bonanza Rd,
Las Vegas, NV 89106-4704
(702) 631-6860
(702) 631-6864

Map and Direction




Provider's Profile

Full NameMr Mario Oliver Tablante Godoy
GenderMale
SpecialityNurse Practitioner
Experience29 Years
Location1706 W Bonanza Rd, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. 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 Mario Oliver Tablante Godoy graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1275822611
  • Provider Enumeration Date: 04/06/2011
  • Last Update Date: 09/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103141874
  • Enrollment ID: I20150223000016

Medical Identifiers

Medical identifiers for Mr Mario Oliver Tablante Godoy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275822611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse APN001258 (Nevada)Secondary
163W00000XRegistered Nurse RN67477 (Nevada)Secondary
363LF0000XNurse Practitioner - Family APRN001258 (Nevada)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Doyne Medical Clinic Inc19513809552

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 Mario Oliver Tablante Godoy allows following entities to bill medicare on his behalf.
Entity NameDoyne Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710997291
PECOS PAC ID: 1951380955
Enrollment ID: O20100331000288
Entity NameVmd Primary Providers Nevada Asplin Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285210757
PECOS PAC ID: 0840691762
Enrollment ID: O20210630000618
Entity NameJam Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942894993
PECOS PAC ID: 9739597543
Enrollment ID: O20210722002856

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 Mario Oliver Tablante Godoy 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 AddressPractice Location Address
Mr Mario Oliver Tablante Godoy, APRN NP-C
8010 Bradley Rd,
Las Vegas, NV 89131-2016

Ph: (702) 239-9123		Mr Mario Oliver Tablante Godoy, APRN NP-C
1706 W Bonanza Rd,
Las Vegas, NV 89106-4704

Ph: (702) 631-6860

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.