<unavail> in Henderson, NV - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Henderson, Nevada. The current practice location for is 2920 N Green Valley Pkwy Ste 217, Henderson, Nevada. For appointments, you can reach them via phone at (702) 909-8196. The mailing address for is 130 General Kelly Ave, Henderson, Nevada and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518716679. 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 (702) 909-8196.

Contact Information


	2920 N Green Valley Pkwy Ste 217 Henderson NV 89014-0407
	(702) 909-8196
	(702) 909-8213

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	2920 N Green Valley Pkwy Ste 217, Henderson, Nevada
Authorized Official Name and Position	Manuel F Gutierrez (MEDICAL DIRECTOR AND OWNER)
Authorized Official Contact	7029098196
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
130 General Kelly Ave Henderson NV 89011-5508 Ph: () -	2920 N Green Valley Pkwy Ste 217 Henderson NV 89014-0407 Ph: (702) 909-8196

NPI Details:

NPI Number	1518716679
Provider Enumeration Date	05/13/2024
Last Update Date	07/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6507300662
Medicare Enrollment ID	O20240628003787

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518716679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Manuel Fernando Gutierrez
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1497259196 PECOS PAC ID: 1355733973 Enrollment ID: I20220111002244

Reviews and Comments

Family Medicine in Henderson, NV

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- Medicare Primary Care in Henderson, NV