| Ace Primary Care | |
|
1701 N Green Valley Pkwy Ste 4c Henderson NV 89074-5886 | |
| (702) 508-9119 | |
| Not Available |
| Full Name | Ace Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 N Green Valley Pkwy Ste 4c, Henderson, Nevada |
| Authorized Official Name and Position | Apeksha D. Desai (CEO) |
| Authorized Official Contact | 7025089119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Primary Care Po Box 80895 Las Vegas NV 89180-0895 Ph: (585) 978-2755 | Ace Primary Care 1701 N Green Valley Pkwy Ste 4c Henderson NV 89074-5886 Ph: (702) 508-9119 |
| NPI Number | 1386364925 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 12/28/2023 |
| Medicare PECOS PAC ID | 8022486125 |
|---|---|
| Medicare Enrollment ID | O20221121002978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386364925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Apeksha Dilip Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386801769 PECOS PAC ID: 1254403991 Enrollment ID: I20190627001563 |
| Provider Name | Raghavendra Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982858742 PECOS PAC ID: 5890819338 Enrollment ID: I20220114000898 |
| Provider Name | Jennilyn Marie Chiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457063679 PECOS PAC ID: 4587037486 Enrollment ID: I20230223001534 |
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