| Vegas Md | |
|
5300 Spring Mountain Rd Ste 112 Las Vegas NV 89146-8724 | |
| (702) 362-6373 | |
| Not Available |
| Full Name | Vegas Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 5300 Spring Mountain Rd Ste 112, Las Vegas, Nevada |
| Authorized Official Name and Position | Mariceljean Rycraft (MANAGING EMPLOYEE) |
| Authorized Official Contact | 7252141009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vegas Md 5300 Spring Mountain Rd Ste 112 Las Vegas NV 89146-8724 Ph: (725) 232-8649 | Vegas Md 5300 Spring Mountain Rd Ste 112 Las Vegas NV 89146-8724 Ph: (702) 362-6373 |
| NPI Number | 1295386936 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 02/15/2023 |
| Medicare PECOS PAC ID | 3476987389 |
|---|---|
| Medicare Enrollment ID | O20200102000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295386936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Muhammad Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336113323 PECOS PAC ID: 1456373430 Enrollment ID: I20051220000222 |
| Provider Name | Bay-ink-raine Falter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295325785 PECOS PAC ID: 7911382759 Enrollment ID: I20220915001286 |
| Provider Name | Roselle Ablog Lina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265081848 PECOS PAC ID: 9032523139 Enrollment ID: I20221020001274 |
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