Mojisola R Balogun, | |
5250 S Rainbow Blvd Unit 2008, Las Vegas, NV 89118-0631 | |
(702) 327-0308 | |
Not Available |
Full Name | Mojisola R Balogun |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5250 S Rainbow Blvd Unit 2008, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144567264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 810386 (Nevada) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 810386 (Nevada) | Primary |
Entity Name | Behavioral Health Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548765258 PECOS PAC ID: 4385998954 Enrollment ID: O20181116002509 |
Entity Name | Mjb View Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487223236 PECOS PAC ID: 4587065479 Enrollment ID: O20210629003516 |
Entity Name | Molina Care Connections Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20220125002065 |
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 |
---|---|
Mojisola R Balogun, 9863 Vista Meadows Ave, Las Vegas, NV 89148-5780 Ph: (702) 327-0308 | Mojisola R Balogun, 5250 S Rainbow Blvd Unit 2008, Las Vegas, NV 89118-0631 Ph: (702) 327-0308 |
Dena Kae Meeter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7455 W Washington Ave, #160, Las Vegas, NV 89128 Phone: 702-878-0393 Fax: 702-940-5601 | |
Ms. Lotis Gay Perilla Edano, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2545 S Bruce St Ste 200, Las Vegas, NV 89169 Phone: 702-732-2438 Fax: 702-733-7876 | |
Jann Stacey Pickens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4506 Fax: 702-388-4810 | |
Tamaris Samantha Cotta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148 Phone: 702-366-1268 Fax: 702-366-7079 | |
Tasha Gouin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148 Phone: 702-430-5333 | |
Aric Pedro Adaoag, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9816 Gilespie St Ste 550, Las Vegas, NV 89183 Phone: 702-202-6336 Fax: 702-202-6318 | |
Ms. Michele Marie Brock, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5380 S Rainbow Blvd Ste 120, Las Vegas, NV 89118 Phone: 702-463-4040 |