Diabetic Life Academy, Llc is a
Durable Medical Equipment & Medical Supplies based in Las Vegas, Nevada. Diabetic Life Academy, Llc is licensed to practice in Nevada (license number 2000394-810) and their current practice location is
4270 S. Decatur Blvd., Suite B-1b, Las Vegas, Nevada. It can be reached at their office (for appointments etc.) via phone at
(702) 880-9500.
NPI number for Diabetic Life Academy, Llc is 1861701062 and their current mailing address is 4270 S. Decatur Blvd., Suite B-1b, Las Vegas, Nevada. Diabetic Life Academy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861701062.
Healthcare Provider's Profile
| Full Name | Diabetic Life Academy, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 4270 S. Decatur Blvd., Las Vegas, 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: 1861701062
- Provider Enumeration Date: 10/05/2010
- Last Update Date: 01/14/2011
Medical Identifiers
Medical identifiers for Diabetic Life Academy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861701062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 2061-0219 (Nevada) | Secondary |
| 305S00000X | Point Of Service | 2061-0219 (Nevada) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2000394-810 (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. Diabetic Life Academy, Llc 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 |
Diabetic Life Academy, Llc 4270 S. Decatur Blvd., Suite B-1b, Las Vegas, NV 89103-6800 Ph: (702) 880-9500 | Diabetic Life Academy, Llc 4270 S. Decatur Blvd., Suite B-1b, Las Vegas, NV 89103-6800 Ph: (702) 880-9500 |
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