Mrs Raegan Mccorkle, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in North Las Vegas, Nevada. Her current practice location is
1815 E Lake Mead Blvd Ste 215, North Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 818-1919.
Mrs Raegan Mccorkle is licensed to practice in Nevada (license number 852529) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003557273.
Physician's Profile
Full Name | Mrs Raegan Mccorkle |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1815 E Lake Mead Blvd Ste 215, North 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. |
NPI Data:
- NPI Number: 1003557273
- Provider Enumeration Date: 04/04/2022
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022487552
- Enrollment ID: I20221206000405
Medical Identifiers
Medical identifiers for Mrs Raegan Mccorkle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003557273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 852529 (Nevada) | Secondary |
363LF0000X | Nurse Practitioner - Family | 852529 (Nevada) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Raegan Mccorkle allows following entities to bill medicare on her behalf.
Entity Name | Iriye Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467496240 PECOS PAC ID: 2163415910 Enrollment ID: O20040406001830 |
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Entity Name | Miller & Turner Ob Gyn Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023662004 PECOS PAC ID: 9032542840 Enrollment ID: O20191210000819 |
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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. Mrs Raegan Mccorkle 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 |
Mrs Raegan Mccorkle, FNP 1815 E Lake Mead Blvd Ste 215, North Las Vegas, NV 89030-7190 Ph: (702) 818-1919 | Mrs Raegan Mccorkle, FNP 1815 E Lake Mead Blvd Ste 215, North Las Vegas, NV 89030-7190 Ph: (702) 818-1919 |
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