| Juanchichos T Ventura, MD | |
|
1st And A St, Hawthorne, NV 89415-1510 | |
| (775) 945-2461 | |
| (775) 945-2359 |
| Full Name | Juanchichos T Ventura |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1st And A St, Hawthorne, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205998366 | NPI | - | NPPES |
| 12049 | Other | NV | NEVADA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12049 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indian Path Community Hospital | Kingsport, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Orchard View Post-acute And Rehabilitation Center | Kingsport, TN | Nursing home |
| Asbury Place At Kingsport | Kingsport, TN | Nursing home |
| Church Hill Care & Rehab Ctr | Church hill, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 73 |
| Nv Pacs 2 Llc | 0941550578 | 124 |
| Mt Grant General Hospital | 1951290337 | 13 |
| Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
| Mailing Address | Practice Location Address |
|---|---|
| Juanchichos T Ventura, MD Po Box 1510, Hawthorne, NV 89415-1510 Ph: (775) 945-2461 | Juanchichos T Ventura, MD 1st And A St, Hawthorne, NV 89415-1510 Ph: (775) 945-2461 |
Daniel Dees, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1st And A St, Hawthorne, NV 89415 Phone: 775-945-2461 Fax: 775-945-2359 |