Mr Michael Todd Mathisen, APRN, PMHNP-BC | |
4270 S Decatur Blvd Ste B6, Las Vegas, NV 89103-6802 | |
(702) 485-2100 | |
(702) 902-2466 |
Full Name | Mr Michael Todd Mathisen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 4270 S Decatur Blvd Ste B6, 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 |
---|---|---|---|
1114487881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 818912 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medtrans Behavioral Nevada Casal Pllc | 7810259165 | 51 |
Entity Name | Alliance Mental Health Specialists Suba Park Cheng Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988107 PECOS PAC ID: 1153616693 Enrollment ID: O20160823003042 |
Entity Name | Medtrans Behavioral Nevada Casal Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245781160 PECOS PAC ID: 7810259165 Enrollment ID: O20180326001159 |
Entity Name | Medtrans |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871915892 PECOS PAC ID: 9739437815 Enrollment ID: O20180806002709 |
Entity Name | Medtrans Medical Nevada Casal Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750846549 PECOS PAC ID: 1850632365 Enrollment ID: O20190410002272 |
Entity Name | New Horizons Psychiatric Services Mathisen Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346977022 PECOS PAC ID: 3577949593 Enrollment ID: O20220928003013 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Todd Mathisen, APRN, PMHNP-BC 7171 Almerta Ave, Las Vegas, NV 89178-8032 Ph: (610) 883-2862 | Mr Michael Todd Mathisen, APRN, PMHNP-BC 4270 S Decatur Blvd Ste B6, Las Vegas, NV 89103-6802 Ph: (702) 485-2100 |
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 |