| Mr Michael Douglas Dixon, CRNA | |
|
129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015-7055 | |
| (702) 564-4440 | |
| Not Available |
| Full Name | Mr Michael Douglas Dixon |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 129 W Lake Mead Pkwy, Henderson, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285869669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 703985 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024183179 (Virginia) | Primary |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Douglas Dixon, CRNA 129 W. Lake Mead Parkway, Suite B-18, Henderson, NV 89015 Ph: (702) 564-4440 | Mr Michael Douglas Dixon, CRNA 129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015-7055 Ph: (702) 564-4440 |
Marwell Viloria, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1050 W Galleria Dr, Henderson, NV 89011 Phone: 702-963-7000 | |
Jaime Parke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Akimi S Mcknight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Natalie J Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Heather Wiley Suescun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Matthew Lee Rigby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 |