| Jacquelyn Wang, | |
|
4175 S Grand Canyon Dr Ste 105, Las Vegas, NV 89147-7155 | |
| (702) 912-4254 | |
| (702) 847-7624 |
| Full Name | Jacquelyn Wang |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 11 Years |
| Location | 4175 S Grand Canyon Dr Ste 105, Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215319496 | NPI | - | NPPES |
| 1215319496 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 15226TLG (California) | Secondary |
| 152W00000X | Optometrist | 1124 (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burke Murphy Pllc | 7719390566 | 3 |
| Provider Name | Prichett Eye Care Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679889372 PECOS PAC ID: 1052390655 Enrollment ID: O20040716000968 |
| Provider Name | Shannon R. Chandler, Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194890673 PECOS PAC ID: 8628174364 Enrollment ID: O20070426000295 |
| Provider Name | Burke Murphy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497341705 PECOS PAC ID: 7719390566 Enrollment ID: O20210115001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Wang, 8730 Victoria Park St, Las Vegas, NV 89148-5388 Ph: (707) 567-3508 | Jacquelyn Wang, 4175 S Grand Canyon Dr Ste 105, Las Vegas, NV 89147-7155 Ph: (702) 912-4254 |
Tamara Gutierrez, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3870 E Flamingo Rd Ste A3, Las Vegas, NV 89121 Phone: 702-434-9919 Fax: 702-270-0926 | |
Dr. Joseph Peter Wadoski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3350 E Tropicana Ave, Las Vegas, NV 89121 Phone: 702-839-0200 Fax: 702-804-0201 | |
Dr. Keri Asraf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8230 W Sahara Ave Ste 121, Las Vegas, NV 89117 Phone: 702-944-2001 | |
Dr. Edward Joseph Malik, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 11035 Lavender Hill Dr Ste 180, Las Vegas, NV 89135 Phone: 702-254-0332 Fax: 702-685-4112 | |
Daniel Truong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6230 N Durango Dr, Las Vegas, NV 89149 Phone: 702-737-3937 Fax: 702-737-8860 | |
Dr. Elizabeth Dong-hee Suh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5060 S Fort Apache Rd Ste 150, Las Vegas, NV 89148 Phone: 702-586-5222 Fax: 702-586-5224 | |
Ellen Sy, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6408 Wild Blue Ct, Las Vegas, NV 89135 Phone: 510-219-3691 |