| Magdalene Clinical Consulting, Inc. | |
|
3127 E Warm Springs Rd Ste 300 Las Vegas NV 89120-3134 | |
| (702) 850-8700 | |
| Not Available |
| Full Name | Magdalene Clinical Consulting, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3127 E Warm Springs Rd Ste 300, Las Vegas, Nevada |
| Authorized Official Name and Position | Melissa Dolecki (BILLING SERVICES) |
| Authorized Official Contact | 8142712011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magdalene Clinical Consulting, Inc. 3127 E Warm Springs Rd Ste 300 Las Vegas NV 89120-3134 Ph: () - | Magdalene Clinical Consulting, Inc. 3127 E Warm Springs Rd Ste 300 Las Vegas NV 89120-3134 Ph: (702) 850-8700 |
| NPI Number | 1629542220 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 5092056184 |
|---|---|
| Medicare Enrollment ID | O20190418002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629542220 | NPI | - | NPPES |
| APRN002022 | Other | NV | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Roger A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295764892 PECOS PAC ID: 1850388893 Enrollment ID: I20160328001058 |
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