| |
3039 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-4193 | |
(725) 225-0123 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 3039 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada |
Authorized Official Name and Position | Troy Bertoli (OWNER) |
Authorized Official Contact | 7022563637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
2654 W Horizon Ridge Pkwy Ste B5-73 Henderson NV 89052-2803 Ph: () - | 3039 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-4193 Ph: (725) 225-0123 |
NPI Number | 1770298317 |
---|---|
Provider Enumeration Date | 01/18/2023 |
Last Update Date | 05/01/2023 |
Medicare PECOS PAC ID | 8628440724 |
---|---|
Medicare Enrollment ID | O20230220001323 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770298317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Troy Bertoli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518189448 PECOS PAC ID: 7315032760 Enrollment ID: I20071001000613 |
Siena Hills Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2789 Sunridge Heights Pkwy, Suite 100, Henderson, NV 89052 Phone: 702-614-0850 Fax: 702-614-0798 | |
The Doc's Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-997-7600 | |
Mark Day, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 N Pecos Rd Ste A, Henderson, NV 89074 Phone: 702-456-9100 Fax: 702-434-7354 |