| Mr Michael Anderson I, FNP | |
|
2650 N Tenaya Way Ste 208, Las Vegas, NV 89128-1104 | |
| (702) 360-2100 | |
| (702) 360-3201 |
| Full Name | Mr Michael Anderson I |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2650 N Tenaya Way Ste 208, Las Vegas, 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 |
|---|---|---|---|
| 1992285605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 843338 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1118851 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group Inc | 2961314265 | 91 |
| Oliver Street 5.01(a) Inc | 0042464125 | 149 |
| Usacs Observation Medicine Services Of Texas Pllc | 9638420631 | 9 |
| J Robert West Md Inc | 8729990973 | 132 |
| Entity Name | Apogee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760652218 PECOS PAC ID: 2961314265 Enrollment ID: O20031104000688 |
| Entity Name | Arizona Desert Dermatology And Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386702546 PECOS PAC ID: 6305732512 Enrollment ID: O20040225000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Anderson I, FNP 12700 Park Central Dr Ste 1210, Dallas, TX 75251-1522 Ph: (702) 360-2763 | Mr Michael Anderson I, FNP 2650 N Tenaya Way Ste 208, Las Vegas, NV 89128-1104 Ph: (702) 360-2100 |
Dena Kae Meeter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7455 W Washington Ave, #160, Las Vegas, NV 89128 Phone: 702-878-0393 Fax: 702-940-5601 | |
Vanesa Francis Cheng, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9550 S Eastern Ave Ste 253, Las Vegas, NV 89123 Phone: 888-803-3370 Fax: 661-634-1040 | |
Ms. Lotis Gay Perilla Edano, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2545 S Bruce St Ste 200, Las Vegas, NV 89169 Phone: 702-732-2438 Fax: 702-733-7876 | |
Jann Stacey Pickens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4506 Fax: 702-388-4810 | |
Tamaris Samantha Cotta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148 Phone: 702-366-1268 Fax: 702-366-7079 | |
Tasha Wasserman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148 Phone: 702-430-5333 | |
Aric Pedro Adaoag, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9816 Gilespie St Ste 550, Las Vegas, NV 89183 Phone: 702-202-6336 Fax: 702-202-6318 |