Jimmy L Mathis, is a
Radiology - Diagnostic Ultrasound physician based in N Las Vegas, Nevada. Jimmy L Mathis is licensed to practice in Nevada (license number 00093077) and his current practice location is 2123 Civic Center Dr, N Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 772-8063.
NPI number for Jimmy L Mathis is 1720709397 and his current mailing address is 2123 Civic Center Dr, N Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720709397.
Physician's Profile
| Full Name | Jimmy L Mathis |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Ultrasound |
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| Location | 2123 Civic Center Dr, N Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720709397
- Provider Enumeration Date: 09/12/2022
- Last Update Date: 09/12/2022
Medical Identifiers
Medical identifiers for Jimmy L Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720709397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | 00093077 (Nevada) | Primary |
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. Jimmy L Mathis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jimmy L Mathis,
2123 Civic Center Dr,
N Las Vegas, NV 89030-6327
Ph: (702) 772-8063 | Jimmy L Mathis,
2123 Civic Center Dr,
N Las Vegas, NV 89030-6327
Ph: (702) 772-8063 |
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