| Healthwell Medical Group De Belen Pc | |
|
4375 S Buffalo Dr #101 Las Vegas NV 89147 | |
| (702) 894-9422 | |
| (702) 894-9258 |
| Full Name | Healthwell Medical Group De Belen Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 4375 S Buffalo Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Grace Cano Debelen (DOCTOR OFFICE MANAGER) |
| Authorized Official Contact | 7028949422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthwell Medical Group De Belen Pc Po Box 82277 Las Vegas NV 89180 Ph: (702) 894-9422 | Healthwell Medical Group De Belen Pc 4375 S Buffalo Dr #101 Las Vegas NV 89147 Ph: (702) 894-9422 |
| NPI Number | 1972669661 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507844834 |
|---|---|
| Medicare Enrollment ID | O20040712001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972669661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10005 (Nevada) | Primary |
| 208000000X | Pediatrics | 10006 (Nevada) | Primary |
| Provider Name | Arnold Z Debelen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205852654 PECOS PAC ID: 1254316706 Enrollment ID: I20040621000485 |
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