Lt Proactive Care Clinic is a
Internal Medicine based in Henderson, Nevada. Lt Proactive Care Clinic 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 is 1982061750 and their current mailing address is 2901 Corporate Pl, Chanhassen, Minnesota. Lt Proactive Care Clinic
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 |
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| 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 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 |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 2085B0100X | Radiology - Body Imaging | (* (Not Available)) | Secondary |
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 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
2901 Corporate Pl,
Chanhassen, MN 55317-4560
Ph: (612) 554-5257 | Lt Proactive Care Clinic
121 Carnegie St,
Henderson, NV 89074-7118
Ph: (702) 802-7357 |
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