| Roseman Medical Group | |
|
5380 S Rainbow Blvd Ste 120 Las Vegas NV 89118-1878 | |
| (702) 463-4040 | |
| Not Available |
| Full Name | Roseman Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5380 S Rainbow Blvd Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | Kristina Lee Connolly (SR. EXE DEAN TO FINANCE AND OPS) |
| Authorized Official Contact | 7028022878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseman Medical Group 10530 Discovery Dr Las Vegas NV 89135-3050 Ph: () - | Roseman Medical Group 5380 S Rainbow Blvd Ste 120 Las Vegas NV 89118-1878 Ph: (702) 463-4040 |
| NPI Number | 1023479052 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 0244522795 |
|---|---|
| Medicare Enrollment ID | O20160705000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023479052 | NPI | - | NPPES |
| Provider Name | Daniel J Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699033092 PECOS PAC ID: 0143466243 Enrollment ID: I20130416000349 |
| Provider Name | Michele Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003269192 PECOS PAC ID: 2264709526 Enrollment ID: I20211022001582 |
| Provider Name | Gregory W Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245496223 PECOS PAC ID: 8820052517 Enrollment ID: I20230607002402 |
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