| Shana M Holman, PA-C | |
|
2704 N Tenaya Way, Las Vegas, NV 89128-0424 | |
| (702) 243-8500 | |
| (702) 363-8753 |
| Full Name | Shana M Holman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2704 N Tenaya Way, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881745081 | NPI | - | NPPES |
| 1881745081 | Other | NV | MEDICAID - SMA |
| PA662 | Other | AL | STATE LICENSE |
| 116033 | Medicaid | AL | |
| V108405 | Other | NV | SMACC MEDICARE |
| 650622859 | Other | AL | TAX ID |
| PA1018 | Other | NV | NEVADA PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1018 (Nevada) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA662 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shana M Holman, PA-C Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 243-8500 | Shana M Holman, PA-C 2704 N Tenaya Way, Las Vegas, NV 89128-0424 Ph: (702) 243-8500 |
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 |