Ethel Aquino Aguilera, DO in Las Vegas, NV

Ethel Aquino Aguilera, DO is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. Her current practice location is 620 Shadow Ln, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 388-4000.

Ethel Aquino Aguilera is licensed to practice in Nevada (license number SL0643) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184855934.

Contact Information

	Ethel Aquino Aguilera, DO
	620 Shadow Ln, Las Vegas, NV 89106-4119
	(702) 388-4000
	(702) 388-8431

Map and Direction

Physician's Profile

Full Name	Ethel Aquino Aguilera
Gender	Female
Speciality	Family Medicine
Location	620 Shadow Ln, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184855934
Provider Enumeration Date: 07/28/2009
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6204084684
Enrollment ID: I20120910000097

Medical Identifiers

Medical identifiers for Ethel Aquino Aguilera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184855934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	SL0643 (Nevada)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ethel Aquino Aguilera allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethel Aquino Aguilera is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ethel Aquino Aguilera, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: (702) 388-4000	Ethel Aquino Aguilera, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: (702) 388-4000

Reviews and Comments

Family Medicine Doctors in Las Vegas, NV

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Dr. Constance Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121 Phone: 702-606-8737 Fax: 702-485-5212
Dr. Chad Robinson Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470
Komal Dhanoa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2580c Teddy Drive, Las Vegas, NV 89102 Phone: 702-968-3270 Fax: 702-949-6202

Ethel Aquino Aguilera, DO - Medicare Family Medicine in Las Vegas, NV