| Frontier Medical Group Llc | |
|
825 S Main Street #393 Tonopah NV 89049 | |
| (775) 382-2000 | |
| (775) 319-4130 |
| Full Name | Frontier Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 S Main Street #393, Tonopah, Nevada |
| Authorized Official Name and Position | Quennie Manuel (COO) |
| Authorized Official Contact | 7753822000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Medical Group Llc 3230 S Buffalo Dr # 105-10 Las Vegas NV 89117-2505 Ph: (702) 686-8180 | Frontier Medical Group Llc 825 S Main Street #393 Tonopah NV 89049 Ph: (775) 382-2000 |
| NPI Number | 1518691724 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 01/18/2023 |
| Medicare PECOS PAC ID | 0042668139 |
|---|---|
| Medicare Enrollment ID | O20231130000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518691724 | NPI | - | NPPES |
| Provider Name | Humberto Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912927229 PECOS PAC ID: 3678562394 Enrollment ID: I20040508000094 |
| Provider Name | Beraldo A Vazquez Correa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417901901 PECOS PAC ID: 3072552819 Enrollment ID: I20050429000936 |
Gerald W Peterson Jr Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 St. Patrick Ln., Tonopah, NV 89049 Phone: 775-482-9898 Fax: 775-482-9900 | |
Nye Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 South Main Street, Tonopah, NV 89049 Phone: 775-482-6233 Fax: 775-482-8272 | |
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Eastern Sierra Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Main St, Tonopah, NV 89049 Phone: 775-482-8693 Fax: 775-482-6431 |