Las Vegas Pain Relief Centers(russo),pc is a
Internal Medicine - Sports Medicine based in Henderson, Nevada. Las Vegas Pain Relief Centers(russo),pc is licensed to practice in Nevada (license number 4511) and their current practice location is
58 N Pecos Rd, Henderson, Nevada. It can be reached at their office (for appointments etc.) via phone at
(702) 948-2520.
NPI number for Las Vegas Pain Relief Centers(russo),pc is 1053754630 and their current mailing address is 58 N Pecos Rd, Henderson, Nevada. Las Vegas Pain Relief Centers(russo),pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053754630.
Healthcare Provider's Profile
Full Name | Las Vegas Pain Relief Centers(russo),pc |
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Type | Facility |
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Speciality | Internal Medicine - Sports Medicine |
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Location | 58 N Pecos Rd, Henderson, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053754630
- Provider Enumeration Date: 04/12/2013
- Last Update Date: 03/02/2015
Medical Identifiers
Medical identifiers for Las Vegas Pain Relief Centers(russo),pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053754630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NS0005X | Chiropractor - Sports Physician | B00848 (Nevada) | Secondary |
207RS0010X | Internal Medicine - Sports Medicine | 4511 (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. Las Vegas Pain Relief Centers(russo),pc 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 |
Las Vegas Pain Relief Centers(russo),pc 58 N Pecos Rd, Henderson, NV 89074-7319 Ph: (702) 948-2520 | Las Vegas Pain Relief Centers(russo),pc 58 N Pecos Rd, Henderson, NV 89074-7319 Ph: (702) 948-2520 |
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