Fremont Primary Care - Endocrinology is a
Nurse Practitioner based in Las Vegas, Nevada. Fremont Primary Care - Endocrinology is licensed to practice in * (Not Available) (license number ) and their current practice location is
4880 Wynn Rd, Las Vegas, Nevada. It can be reached at their office (for appointments etc.) via phone at
(702) 362-3422.
NPI number for Fremont Primary Care - Endocrinology is 1295712693 and their current mailing address is Po Box 1737, Las Vegas, Nevada. Fremont Primary Care - Endocrinology
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1295712693.
Healthcare Provider's Profile
| Full Name | Fremont Primary Care - Endocrinology |
|---|
| Type | Facility |
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| Speciality | Nurse Practitioner |
|---|
| Location | 4880 Wynn Rd, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295712693
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Fremont Primary Care - Endocrinology such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295712693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | 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. Fremont Primary Care - Endocrinology 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 |
|---|
Fremont Primary Care - Endocrinology
Po Box 1737,
Las Vegas, NV 89125-1737
Ph: (702) 671-6800 | Fremont Primary Care - Endocrinology
4880 Wynn Rd,
Las Vegas, NV 89103-5406
Ph: (702) 362-3422 |
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