| St. Luke's Medical Services, Pllc | |
|
3227 E Warm Springs Rd Ste 300 Las Vegas NV 89120-3180 | |
| (725) 292-6829 | |
| (636) 212-9019 |
| Full Name | St. Luke's Medical Services, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3227 E Warm Springs Rd Ste 300, Las Vegas, Nevada |
| Authorized Official Name and Position | Erlene G Cudiamat (MANAGING MEMBER) |
| Authorized Official Contact | 7252926829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Medical Services, Pllc 3100 W Sahara Ave Ste 116 Las Vegas NV 89102-6001 Ph: (725) 292-6829 | St. Luke's Medical Services, Pllc 3227 E Warm Springs Rd Ste 300 Las Vegas NV 89120-3180 Ph: (725) 292-6829 |
| NPI Number | 1588376602 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 7315300985 |
|---|---|
| Medicare Enrollment ID | O20230830000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588376602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Erlene G Cudiamat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710690243 PECOS PAC ID: 7719311224 Enrollment ID: I20230830000247 |
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