| Mrs Jessica E Radivan, PA-C | |
|
888 S Rancho Dr, Las Vegas, NV 89106-3810 | |
| (702) 877-8600 | |
| (702) 258-6152 |
| Full Name | Mrs Jessica E Radivan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 888 S Rancho Dr, Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720228612 | NPI | - | NPPES |
| V110828 | Other | NV | SMA MEDICARE |
| 1720228612 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1146 (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Infectious Disease Of Nevada | 3375934326 | 10 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica E Radivan, PA-C Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 877-8600 | Mrs Jessica E Radivan, PA-C 888 S Rancho Dr, Las Vegas, NV 89106-3810 Ph: (702) 877-8600 |
Maria Bass, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9499 W Charleston, #200 Ossm, Las Vegas, NV 89117 Phone: 702-933-3600 Fax: 702-933-3601 | |
Elrah F Gfeller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9260 W Sunset Rd Ste 200, Las Vegas, NV 89148 Phone: 702-968-3240 Fax: 702-862-8227 | |
Jessica Welch, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10300 W Charleston Blvd Ste 21, Las Vegas, NV 89135 Phone: 702-489-3300 | |
Jean-pierre Petrel Ii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3012 S Durango Dr, Las Vegas, NV 89117 Phone: 702-901-4233 | |
Mr. James C Somers, MS, PA-C, DFAAPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2780 S Jones Blvd, Suite #205, Las Vegas, NV 89146 Phone: 702-217-8030 Fax: 702-537-5736 | |
Monte Wilson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2704 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-243-8500 | |
Timothy R Knauff, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 702-492-7208 Fax: 702-616-0657 |