Dr Adrian Zachary Cu De Vera, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Las Vegas, Nevada. His current practice location is
3014 W Charleston Blvd, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 561-3378.
Dr Adrian Zachary Cu De Vera is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144922105.
Physician's Profile
| Full Name | Dr Adrian Zachary Cu De Vera |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3014 W Charleston Blvd, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144922105
- Provider Enumeration Date: 03/21/2023
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153782081
- Enrollment ID: I20230725002765
Medical Identifiers
Medical identifiers for Dr Adrian Zachary Cu De Vera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144922105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | LL3972 (Nevada) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Dr Adrian Zachary Cu De Vera is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Adrian Zachary Cu De Vera, MD
3014 W Charleston Blvd,
Las Vegas, NV 89102-2021
Ph: (702) 561-3378 | Dr Adrian Zachary Cu De Vera, MD
3014 W Charleston Blvd,
Las Vegas, NV 89102-2021
Ph: (702) 561-3378 |
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