Edward Clark, MD | |
595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | |
(702) 565-1007 | |
(702) 565-0836 |
Full Name | Edward Clark |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 595 W Lake Mead Pkwy, Henderson, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356318174 | NPI | - | NPPES |
1005063739 | Medicaid | NV | |
100506374 | Medicaid | NV | |
1356318174 | Medicaid | NV | |
11309 | Other | NV | NV LICENSE |
11309 | Other | NV | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11309 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Medical Holdings Nevada Inc | 7416054622 | 291 |
Entity Name | Southwest Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
Entity Name | Healthcare Partners Medical Group Coats Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898 |
Entity Name | Urgent Care Nevada Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134546575 PECOS PAC ID: 7012137037 Enrollment ID: O20140925000800 |
Entity Name | Intermountain Medical Holdings Nevada Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245997279 PECOS PAC ID: 7416054622 Enrollment ID: O20220214001765 |
Mailing Address | Practice Location Address |
---|---|
Edward Clark, MD 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 Ph: (702) 216-3346 | Edward Clark, MD 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 Ph: (702) 565-1007 |
Mrs. Raegan Mccorkle, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 3248 Timorasso Ave, Henderson, NV 89044 Phone: 219-902-8309 | |
David Tit-chiu Chan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 E Lake Mead Pkwy, #107, Henderson, NV 89015 Phone: 702-616-4870 | |
Mr. Bikramjit Singh Nanar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1382 Opal Valley St, Henderson, NV 89052 Phone: 416-318-8106 Fax: 905-405-8972 | |
David S Gothelf, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N Green Valley Pkwy, Suite 210, Henderson, NV 89074 Phone: 702-269-9995 Fax: 702-944-4056 | |
Nancy C. Chu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2789 Sunridge Heights Pkwy, Suite 100, Henderson, NV 89052 Phone: 702-614-0850 Fax: 702-614-0987 | |
Nauhar Bhatia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10624 S Eastern Ave Ste A-955, Henderson, NV 89052 Phone: 702-800-5393 Fax: 702-407-7016 | |
Dr. Kevin Paul Ramsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4130 E Sunset Rd, Henderson, NV 89014 Phone: 702-670-0397 |