Centerwell Senior Primary Care-spring Valley - Medicare Primary Care in Las Vegas, NV

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Centerwell Senior Primary Care-spring Valley is a medicare enrolled primary clinic (Internal Medicine) in Las Vegas, Nevada. The current practice location for Centerwell Senior Primary Care-spring Valley is 4001 S Decatur Blvd Ste 25, Las Vegas, Nevada. For appointments, you can reach them via phone at (725) 224-6967. The mailing address for Centerwell Senior Primary Care-spring Valley is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care-spring Valley is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285257667. 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 (725) 224-6967.

Contact Information

Centerwell Senior Primary Care-spring Valley
4001 S Decatur Blvd Ste 25
Las Vegas
NV 89103-5857
(725) 224-6967
(833) 749-0357

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care-spring Valley
SpecialityInternal Medicine
Location4001 S Decatur Blvd Ste 25, Las Vegas, Nevada
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care-spring Valley
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120		Centerwell Senior Primary Care-spring Valley
4001 S Decatur Blvd Ste 25
Las Vegas
NV 89103-5857

Ph: (725) 224-6967

NPI Details:

NPI Number1285257667
Provider Enumeration Date05/20/2020
Last Update Date02/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5092132340
Medicare Enrollment IDO20200901001111

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care-spring Valley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285257667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
208D00000XGeneral Practice (* (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. Centerwell Senior Primary Care-spring Valley acts as a billing entity for following providers:
Provider NameDouglas R Budde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457321580
PECOS PAC ID: 2769475201
Enrollment ID: I20040408000383
Provider NameRachakonda D Prabhu
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1538156633
PECOS PAC ID: 8729996590
Enrollment ID: I20040519000848
Provider NameEvangelia Papageorge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780657262
PECOS PAC ID: 8628982345
Enrollment ID: I20050401000179
Provider NameNancy T Lao
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174596431
PECOS PAC ID: 2062446719
Enrollment ID: I20050921001080
Provider NameDanilo M Duenas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023190279
PECOS PAC ID: 1456386333
Enrollment ID: I20050929000106
Provider NameTracy J Wakefield
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053369827
PECOS PAC ID: 0941203079
Enrollment ID: I20060810000351
Provider NameKaryn Harries
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376571455
PECOS PAC ID: 0446143853
Enrollment ID: I20060811000154
Provider NameRita B Chuang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497854962
PECOS PAC ID: 4880580349
Enrollment ID: I20061127000355
Provider NameGreg E Fihn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114013901
PECOS PAC ID: 5395837751
Enrollment ID: I20070816000140
Provider NameRachael Ann Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588818207
PECOS PAC ID: 5890852610
Enrollment ID: I20090324000120
Provider NameKevin D Templar
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1518000538
PECOS PAC ID: 8527162825
Enrollment ID: I20091125000559
Provider NameJennifer D Avena
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578528998
PECOS PAC ID: 8426181439
Enrollment ID: I20100728000215
Provider NameAngela Nicole Ortega-bermudez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982873360
PECOS PAC ID: 5991999344
Enrollment ID: I20101030000108
Provider NameInna Zdorovyak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437375433
PECOS PAC ID: 2062583297
Enrollment ID: I20110112000750
Provider NameKasey Laz Abanonu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609109644
PECOS PAC ID: 7113063173
Enrollment ID: I20120517000595
Provider NameZima Pakzad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669747564
PECOS PAC ID: 1052568748
Enrollment ID: I20120831000400
Provider NameJonathan H Li
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780667709
PECOS PAC ID: 5092964999
Enrollment ID: I20121010000167
Provider NameKelly Y Twells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710395496
PECOS PAC ID: 6305063298
Enrollment ID: I20140818001046
Provider NameTomas P Ricalde
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750671061
PECOS PAC ID: 5890914329
Enrollment ID: I20140916001997
Provider NameHazel T Felix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386073864
PECOS PAC ID: 2860612496
Enrollment ID: I20141002002460
Provider NameCharles A Wilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295781359
PECOS PAC ID: 8325037849
Enrollment ID: I20150427001752
Provider NameChristina Henry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629412002
PECOS PAC ID: 3173838323
Enrollment ID: I20150817001730
Provider NameBrent Devera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609134048
PECOS PAC ID: 5395069041
Enrollment ID: I20151015000981
Provider NameMarisela Nadeau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841519808
PECOS PAC ID: 3779881735
Enrollment ID: I20160407002123
Provider NameRichard Jeffery Curren
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891133005
PECOS PAC ID: 1850686825
Enrollment ID: I20160830001353
Provider NameVictor Lee Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558655191
PECOS PAC ID: 7315177383
Enrollment ID: I20170104001267
Provider NameDeepa D Kordick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396087094
PECOS PAC ID: 3173755873
Enrollment ID: I20170131001419
Provider NameKahrenanne Alegre Dy-patacsil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346786498
PECOS PAC ID: 9739464439
Enrollment ID: I20170320002579
Provider NameJack Yang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720405830
PECOS PAC ID: 6002035425
Enrollment ID: I20170815002212
Provider NameWilliam Dalrymple
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194132811
PECOS PAC ID: 8022380104
Enrollment ID: I20170824001108
Provider NameItha Dalrymple
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356758833
PECOS PAC ID: 1153606579
Enrollment ID: I20170824003624
Provider NameVeronica N James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245768019
PECOS PAC ID: 1456625680
Enrollment ID: I20170926003557
Provider NameDorothy May Agdamag
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780195446
PECOS PAC ID: 0840558524
Enrollment ID: I20180102000167
Provider NameHeather Elisabeth Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801309919
PECOS PAC ID: 7315203924
Enrollment ID: I20180627000880
Provider NamePei-chi Fu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053363473
PECOS PAC ID: 4981654795
Enrollment ID: I20180920000185
Provider NameDemian Gitnacht
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679899579
PECOS PAC ID: 1456523471
Enrollment ID: I20190114002678
Provider NameKhozema M Rajkotwala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003878752
PECOS PAC ID: 2668566399
Enrollment ID: I20190118000188
Provider NameHayley Kuhn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326454307
PECOS PAC ID: 7810116415
Enrollment ID: I20190328000942
Provider NameManpreet Sran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013278316
PECOS PAC ID: 3678850666
Enrollment ID: I20190405001244
Provider NameLauren Kay Rojas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578041125
PECOS PAC ID: 6709128390
Enrollment ID: I20190501000943
Provider NameGregory Desimone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851785687
PECOS PAC ID: 4688966328
Enrollment ID: I20190708002335
Provider NameEmeka Madu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275003824
PECOS PAC ID: 8325374085
Enrollment ID: I20190801003307
Provider NameIfeanyi C Madu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295295038
PECOS PAC ID: 2860729647
Enrollment ID: I20190816001757
Provider NameNoni Hayman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306310354
PECOS PAC ID: 6608107529
Enrollment ID: I20191008001199
Provider NameBrent Han
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629451315
PECOS PAC ID: 8527360619
Enrollment ID: I20191111002641
Provider NameJoyce Carlos Damiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275169013
PECOS PAC ID: 8921438805
Enrollment ID: I20200416001061
Provider NameJunier Torres-quiala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427509850
PECOS PAC ID: 4981034493
Enrollment ID: I20200424001401
Provider NameSuraj Pratap
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114201704
PECOS PAC ID: 2466872056
Enrollment ID: I20201020004524
Provider NameMichael Adam Wong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649701814
PECOS PAC ID: 6406276864
Enrollment ID: I20201023001682
Provider NameRosemarie E Carandang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821431032
PECOS PAC ID: 6709023617
Enrollment ID: I20201118001325
Provider NameCharlie Lin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659314763
PECOS PAC ID: 3476456682
Enrollment ID: I20210114001678
Provider NameCarlos Enrique Jimenez Pozo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215579602
PECOS PAC ID: 7416388996
Enrollment ID: I20210223001871
Provider NameChui Man Carmen Hui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548550718
PECOS PAC ID: 6901025154
Enrollment ID: I20210427003031
Provider NameJessica Mae Lorenzana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629648928
PECOS PAC ID: 7113321183
Enrollment ID: I20210812002759
Provider NameJasmine Celina S Lazaro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124791348
PECOS PAC ID: 2466850300
Enrollment ID: I20211007001975
Provider NameJuliana Adjovu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619496684
PECOS PAC ID: 5799047163
Enrollment ID: I20220413000002
Provider NameJoanna Sordan Dela Pena
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619625225
PECOS PAC ID: 0547648289
Enrollment ID: I20220608000947
Provider NameIlia T Sanchez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326358763
PECOS PAC ID: 3971989237
Enrollment ID: I20221011000292
Provider NameGelvis Concepcion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588047989
PECOS PAC ID: 5890169346
Enrollment ID: I20230323001216
Provider NameMarilou Sadicon Sorensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265139893
PECOS PAC ID: 3678948403
Enrollment ID: I20230410002105
Provider NameKevin Ngo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760019335
PECOS PAC ID: 9638567530
Enrollment ID: I20230731001102
Provider NameWeston Maximilian Krauss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154942068
PECOS PAC ID: 3274994736
Enrollment ID: I20230731002242
Provider NameBrittney M Mccadney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023539129
PECOS PAC ID: 5799149779
Enrollment ID: I20230908002048
Provider NameShalemar Ann Kasan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235768904
PECOS PAC ID: 7810313160
Enrollment ID: I20231006001609
Provider NameShelby Paige Billings
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588284111
PECOS PAC ID: 2163844838
Enrollment ID: I20231017001118
Provider NameHarry Shaw Strothers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861492720
PECOS PAC ID: 2860468154
Enrollment ID: I20240129003621

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.