Jorgenson & Koka Llp is a medicare enrolled "General Practice" provider in Las Vegas, Nevada. Their current practice location is
9975 S Eastern Ave, Suite 110, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at
(702) 361-2273.
Jorgenson & Koka Llp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jorgenson & Koka Llp
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1457382863.
Healthcare Provider's Profile
| Full Name | Jorgenson & Koka Llp |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 9975 S Eastern Ave, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457382863
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 10/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 5092735936
- Enrollment ID: O20051206000970
Medical Identifiers
Medical identifiers for Jorgenson & Koka Llp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457382863 | NPI | - | NPPES |
| 100508145 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 1915 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | 1001 (Nevada) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 1915 (Nevada) | Secondary |
| 2083T0002X | Preventive Medicine - Medical Toxicology | 9529 (Nevada) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 1001 (Nevada) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 247100000X | Radiologic Technologist | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jorgenson & Koka Llp acts as a billing entity for following providers:
| Provider Name | Humberto Rodriguez |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1912927229
PECOS PAC ID: 3678562394
Enrollment ID: I20040508000094 |
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| Provider Name | Sana Siddiqui |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1093977456
PECOS PAC ID: 5890930531
Enrollment ID: I20130328000258 |
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| Provider Name | Arion Shepherd |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1982159638
PECOS PAC ID: 3072882216
Enrollment ID: I20170703001881 |
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| Provider Name | Hillary Habiger |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1780074153
PECOS PAC ID: 7113148800
Enrollment ID: I20190830002758 |
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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. Jorgenson & Koka Llp 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 |
|---|
Jorgenson & Koka Llp
Po Box 530010,
Henderson, NV 89053-0010
Ph: (702) 492-7208 | Jorgenson & Koka Llp
9975 S Eastern Ave, Suite 110,
Las Vegas, NV 89183-7949
Ph: (702) 361-2273 |
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