Pamela L Detrick, MHNP - Medicare Nurse Practitioner in Nellis Afb, NV

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Pamela L Detrick, MHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Nellis Afb, Nevada. Her current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 653-3880.

Pamela L Detrick is licensed to practice in Nevada (license number APRN000580) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770638801.

Contact Information

Pamela L Detrick, MHNP
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
(702) 653-3880
Not Available

Map and Direction




Provider's Profile

Full NamePamela L Detrick
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770638801
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284720756
  • Enrollment ID: I20071013000068

Medical Identifiers

Medical identifiers for Pamela L Detrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770638801NPI-NPPES
308485000MedicaidFL
Y8586OtherFLBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health ARNP1558782 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN000580 (Nevada)Primary

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. Pamela L Detrick allows following entities to bill medicare on her behalf.
Entity NameLife Solutions Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508345521
PECOS PAC ID: 1052656618
Enrollment ID: O20181231000973

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. Pamela L Detrick 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
Pamela L Detrick, MHNP
7005 Mira Loma Ln, Ste 101,
Austin, TX 78723-1411

Ph: (512) 470-5600		Pamela L Detrick, MHNP
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-3880

Reviews and Comments


Nurse Practitioner Nurses in Nellis Afb, NV

Kealie Mehr, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Susanna Tiffany Pruangkarn, AGACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
James Scot Fite, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Kimberly M Kittleson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2965    
Nancy Joan Heisterman, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Amds/sgpt, Nellis Afb, NV 89191
Phone: 702-653-2890    Fax: 702-653-2549
Deborah Cochran,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2300    
Elizabeth S Green, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3116    

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.