Las Vegas Pain Institute And Medical Center, Llc - Medicare in Las Vegas, NV

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Las Vegas Pain Institute And Medical Center, Llc is a medicare enrolled "Anesthesiology - Pain Medicine" provider in Las Vegas, Nevada. Their current practice location is 3835 S Jones Blvd Ste 104, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 880-4193.

Las Vegas Pain Institute And Medical Center, Llc is licensed to practice in Nevada (license number 2000268 650) and it also participates in the medicare program. Las Vegas Pain Institute And Medical Center, Llc 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 1659431443.

Contact Information

Las Vegas Pain Institute And Medical Center, Llc
3835 S Jones Blvd Ste 104,
Las Vegas, NV 89103-2283
(702) 880-4193
(702) 880-4197

Map and Direction




Healthcare Provider's Profile

Full NameLas Vegas Pain Institute And Medical Center, Llc
TypeFacility
SpecialityAnesthesiology - Pain Medicine
Location3835 S Jones Blvd Ste 104, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659431443
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 10/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0941256846
  • Enrollment ID: O20050323001292

Medical Identifiers

Medical identifiers for Las Vegas Pain Institute And Medical Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659431443NPI-NPPES
100509710MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
207LP2900XAnesthesiology - Pain Medicine 2000268 650 (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. Las Vegas Pain Institute And Medical Center, Llc acts as a billing entity for following providers:
Provider NameGodwin O Maduka
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1548363583
PECOS PAC ID: 3577519487
Enrollment ID: I20050324001080
Provider NameHarrison Diep
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609926674
PECOS PAC ID: 7810093408
Enrollment ID: I20101228000598
Provider NameJeffrey L Webb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053529347
PECOS PAC ID: 8426321647
Enrollment ID: I20170908001943
Provider NameMaheswari Nadarajan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891291779
PECOS PAC ID: 5799033353
Enrollment ID: I20180730003605
Provider NameOkwuchukwu G Obi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1285044495
PECOS PAC ID: 7719280999
Enrollment ID: I20190219002771
Provider NameShijuana Obi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225372733
PECOS PAC ID: 1850546672
Enrollment ID: I20190607002457
Provider NameBraden Jex
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1639531650
PECOS PAC ID: 7911260252
Enrollment ID: I20210723002704
Provider NameAlyssa Kiat-ong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740954452
PECOS PAC ID: 5496150856
Enrollment ID: I20210823002620
Provider NameNancy Thi Van
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154098093
PECOS PAC ID: 0446649560
Enrollment ID: I20211111000968
Provider NameKomal Dhanoa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013369123
PECOS PAC ID: 7012201841
Enrollment ID: I20220323001145
Provider NameKintana Torres Wixom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174269898
PECOS PAC ID: 0648659573
Enrollment ID: I20220622003258
Provider NameEmilsis Ruiz Mederos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114634458
PECOS PAC ID: 8426427170
Enrollment ID: I20221220000715
Provider NameEleanor Rimando
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710609813
PECOS PAC ID: 5991175523
Enrollment ID: I20221223000033
Provider NameRuby Borja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467050625
PECOS PAC ID: 4284004755
Enrollment ID: I20221227000593
Provider NameLani Cruz Gelera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659079598
PECOS PAC ID: 2163897414
Enrollment ID: I20230419000383
Provider NameCyrus Abbasi
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1184112526
PECOS PAC ID: 2668720137
Enrollment ID: I20230831001652
Provider NameOlufunke Elizabeth Fadahunsi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548959075
PECOS PAC ID: 6608239983
Enrollment ID: I20230905001525
Provider NameLauren A Chambers
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1689088635
PECOS PAC ID: 7416225099
Enrollment ID: I20231013003236
Provider NameJoy Rose Salvador Alagar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972382059
PECOS PAC ID: 8921458548
Enrollment ID: I20231222001108
Provider NameFaye R Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396512612
PECOS PAC ID: 3779927470
Enrollment ID: I20240221002925
Provider NameLucretia Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922876416
PECOS PAC ID: 0840635298
Enrollment ID: I20240312003394
Provider NameMercy Melanie Bormate Vismanos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679341788
PECOS PAC ID: 5799120275
Enrollment ID: I20240313001516
Provider NameKristoffer Iven Bernardo Inguito
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396516787
PECOS PAC ID: 2264879444
Enrollment ID: I20240322003987
Provider NameChristine Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649915877
PECOS PAC ID: 1153769799
Enrollment ID: I20240403000433
Provider NameTamara Browne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194579052
PECOS PAC ID: 7810433745
Enrollment ID: I20240726001945
Provider NameFeryal Hemmati
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912740358
PECOS PAC ID: 8527506377
Enrollment ID: I20240812003957
Provider NameNelson K Bond
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1548208192
PECOS PAC ID: 4486642915
Enrollment ID: I20240921000537
Provider NameGrace Michelle Dykheng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740757525
PECOS PAC ID: 1254863186
Enrollment ID: I20241017000353
Provider NameJimmy Klutts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932194792
PECOS PAC ID: 9436237666
Enrollment ID: I20241024004164
Provider NameEdenlita Pangilinan Antolin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609681659
PECOS PAC ID: 7214459866
Enrollment ID: I20250324001916

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. Las Vegas Pain Institute And Medical Center, Llc 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 AddressPractice Location Address
Las Vegas Pain Institute And Medical Center, Llc
4616 W Sahara Ave # 337,
Las Vegas, NV 89102-3654

Ph: (702) 880-4193		Las Vegas Pain Institute And Medical Center, Llc
3835 S Jones Blvd Ste 104,
Las Vegas, NV 89103-2283

Ph: (702) 880-4193

Reviews and Comments



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