Frontier Medical Group Llc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Tonopah, Nevada. The current practice location for Frontier Medical Group Llc is 825 S Main Street #393, Tonopah, Nevada. For appointments, you can reach them via phone at
(775) 382-2000. The mailing address for Frontier Medical Group Llc is 3230 S Buffalo Dr # 105-10, Las Vegas, Nevada and phone number is (702) 686-8180.
Frontier Medical Group Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1518691724. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(775) 382-2000.
Primary Care Clinic Profile
| Full Name | Frontier Medical Group Llc |
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| Speciality | Clinic/Center |
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| Location | 825 S Main Street #393, Tonopah, Nevada |
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| Authorized Official Name and Position | Quennie Manuel (COO) |
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| Authorized Official Contact | 7753822000 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Frontier Medical Group Llc
3230 S Buffalo Dr # 105-10
Las Vegas
NV 89117-2505
Ph: (702) 686-8180 | Frontier Medical Group Llc
825 S Main Street #393
Tonopah
NV 89049
Ph: (775) 382-2000 |
NPI Details:
| NPI Number | 1518691724 |
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| Provider Enumeration Date | 07/13/2022 |
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| Last Update Date | 01/18/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0042668139 |
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| Medicare Enrollment ID | O20231130000387 |
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Medical Identifiers
Medical identifiers for Frontier Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518691724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Frontier Medical Group Llc acts as a billing entity for following providers:
| Provider Name | Humberto Rodriguez |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1912927229
PECOS PAC ID: 3678562394
Enrollment ID: I20040508000094 |
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| Provider Name | Beraldo A Vazquez Correa |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1417901901
PECOS PAC ID: 3072552819
Enrollment ID: I20050429000936 |
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