| Expertise Medical Group | |
|
2785 E Desert Inn Rd Las Vegas NV 89121-3626 | |
| (702) 522-6451 | |
| (702) 552-7609 |
| Full Name | Expertise Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2785 E Desert Inn Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Ibiandi Marquetti (PARTNER) |
| Authorized Official Contact | 7025226451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Expertise Medical Group 2785 E Desert Inn Rd Ste 220 Las Vegas NV 89121-3624 Ph: (702) 522-6451 | Expertise Medical Group 2785 E Desert Inn Rd Las Vegas NV 89121-3626 Ph: (702) 522-6451 |
| NPI Number | 1992394605 |
|---|---|
| Provider Enumeration Date | 01/16/2021 |
| Last Update Date | 11/01/2024 |
| Medicare PECOS PAC ID | 5395153241 |
|---|---|
| Medicare Enrollment ID | O20210414002286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992394605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Zinoviy Benzar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598853343 PECOS PAC ID: 6002089539 Enrollment ID: I20190530000167 |
| Provider Name | Deja Fuimaono |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497028682 PECOS PAC ID: 4385079748 Enrollment ID: I20200114001333 |
| Provider Name | Shane Michael Boxrz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043930894 PECOS PAC ID: 0547639528 Enrollment ID: I20221214000718 |
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