Lt Proactive Care Clinic Nevada - Farbakhsh Pllc is a
Internal Medicine based in Henderson, Nevada. Lt Proactive Care Clinic Nevada - Farbakhsh Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
121 Carnegie St, Henderson, Nevada. It can be reached at their office (for appointments etc.) via phone at
(702) 802-7357.
NPI number for Lt Proactive Care Clinic Nevada - Farbakhsh Pllc is 1982061750 and their current mailing address is 2901 Corporate Pl, Chanhassen, Minnesota. Lt Proactive Care Clinic Nevada - Farbakhsh Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1982061750.
Healthcare Provider's Profile
| Full Name | Lt Proactive Care Clinic Nevada - Farbakhsh Pllc |
|---|
| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 121 Carnegie St, Henderson, 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: 1982061750
- Provider Enumeration Date: 01/25/2016
- Last Update Date: 02/15/2016
Medical Identifiers
Medical identifiers for Lt Proactive Care Clinic Nevada - Farbakhsh Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982061750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 2085B0100X | Radiology - Body Imaging | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (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. Lt Proactive Care Clinic Nevada - Farbakhsh Pllc 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 |
|---|
Lt Proactive Care Clinic Nevada - Farbakhsh Pllc
2901 Corporate Pl,
Chanhassen, MN 55317-4560
Ph: (612) 554-5257 | Lt Proactive Care Clinic Nevada - Farbakhsh Pllc
121 Carnegie St,
Henderson, NV 89074-7118
Ph: (702) 802-7357 |
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