| Frontier Medical & Behavioral Center Inc | |
|
5105 Camino Al Norte Suite 100 North Las Vegas NV 89031-2373 | |
| (702) 750-2438 | |
| (702) 750-2173 |
| Full Name | Frontier Medical & Behavioral Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5105 Camino Al Norte, North Las Vegas, Nevada |
| Authorized Official Name and Position | Jerome Nwanna Nwokike (OWNER) |
| Authorized Official Contact | 7027502438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Medical & Behavioral Center Inc 5105 Camino Al Norte Suite 100 North Las Vegas NV 89031-2373 Ph: (702) 750-2438 | Frontier Medical & Behavioral Center Inc 5105 Camino Al Norte Suite 100 North Las Vegas NV 89031-2373 Ph: (702) 750-2438 |
| NPI Number | 1639579162 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 09/27/2016 |
| Medicare PECOS PAC ID | 4183912017 |
|---|---|
| Medicare Enrollment ID | O20161010001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639579162 | NPI | - | NPPES |
| Provider Name | Maria K Nwokike |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689612624 PECOS PAC ID: 2769389485 Enrollment ID: I20090420000467 |
| Provider Name | Jerome N Nwokike |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346225794 PECOS PAC ID: 7618983917 Enrollment ID: I20090820000199 |
| Provider Name | Nytisha L White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487617130 PECOS PAC ID: 5294870374 Enrollment ID: I20100301000188 |
| Provider Name | Brenda Gaile Primero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831613025 PECOS PAC ID: 7618241670 Enrollment ID: I20170914003555 |
| Provider Name | Genevie Kneir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922017 PECOS PAC ID: 1951660810 Enrollment ID: I20180123000009 |
| Provider Name | Natalia B Videva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962906586 PECOS PAC ID: 2567717895 Enrollment ID: I20180608002236 |
| Provider Name | Sherrie Louise Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841825825 PECOS PAC ID: 9133541600 Enrollment ID: I20200630000770 |
| Provider Name | Emileanne Ence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831765486 PECOS PAC ID: 7911396965 Enrollment ID: I20211111002713 |
| Provider Name | Cynthia Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922482132 PECOS PAC ID: 8729470158 Enrollment ID: I20220207001176 |
| Provider Name | Joseph Vincent Aufheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538892054 PECOS PAC ID: 6103209473 Enrollment ID: I20220818002797 |
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