William P Jacks Md Chartered | |
2031 Mcdaniel St Ste 250 N Las Vegas NV 89030-6309 | |
(702) 649-9070 | |
(702) 649-9080 |
Full Name | William P Jacks Md Chartered |
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Speciality | Family Medicine |
Location | 2031 Mcdaniel St Ste 250, N Las Vegas, Nevada |
Authorized Official Name and Position | William P Jacks (PRESIDENT) |
Authorized Official Contact | 7026499070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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William P Jacks Md Chartered 2031 Mcdaniel St Ste 250 N Las Vegas NV 89030-6309 Ph: (702) 649-9070 | William P Jacks Md Chartered 2031 Mcdaniel St Ste 250 N Las Vegas NV 89030-6309 Ph: (702) 649-9070 |
NPI Number | 1306879911 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 03/02/2018 |
Medicare PECOS PAC ID | 4284627357 |
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Medicare Enrollment ID | O20040405001526 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306879911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | William Pedro Jacks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659353878 PECOS PAC ID: 3971596057 Enrollment ID: I20040405001597 |
Provider Name | Israel J Alvarado |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427096569 PECOS PAC ID: 0840283305 Enrollment ID: I20050301000807 |
Provider Name | Noemi D Cabrera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558872986 PECOS PAC ID: 0143589960 Enrollment ID: I20180123003109 |
Provider Name | Fiorella Rocca |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588319685 PECOS PAC ID: 0042676942 Enrollment ID: I20230518003364 |
Intermountain Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 W Craig Rd, N Las Vegas, NV 89032 Phone: 702-657-9555 Fax: 702-657-9040 | |
Lvs Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3365 W Craig Rd, Suite 10, N Las Vegas, NV 89032 Phone: 702-684-3739 | |
Providence Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E Lake Mead Blvd, Suite 204, N Las Vegas, NV 89030 Phone: 702-798-1233 Fax: 702-531-1233 | |
Brown Id Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6900 Pecos Rd, N Las Vegas, NV 89086 Phone: 917-864-0353 | |
Nem Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2670 N Las Vegas Blvd Ste 109, N Las Vegas, NV 89030 Phone: 702-399-0604 Fax: 702-399-0607 | |
Sweet Peace Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 Windhurst St, N Las Vegas, NV 89032 Phone: 725-266-0616 | |
Tri City Medical Hospitalists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2365 Reynolds Avenue, Bldg C 2nd Floor, N Las Vegas, NV 89030 Phone: 702-588-7070 Fax: 702-839-0149 |