| Telemed and Health | |
|
3031 W Horizon Ridge Pkwy Ste 120 Henderson NV 89052-3809 | |
| (702) 614-4476 | |
| (702) 914-7644 |
| Full Name | Telemed and Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3031 W Horizon Ridge Pkwy Ste 120, Henderson, Nevada |
| Authorized Official Name and Position | Monica Jayne Wall (PRESIDENT) |
| Authorized Official Contact | 7026144476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemed and Health Po Box 530245 Henderson NV 89053-0245 Ph: (702) 614-4476 | Telemed and Health 3031 W Horizon Ridge Pkwy Ste 120 Henderson NV 89052-3809 Ph: (702) 614-4476 |
| NPI Number | 1457542961 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Medicare PECOS PAC ID | 0042340960 |
|---|---|
| Medicare Enrollment ID | O20100618000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457542961 | NPI | - | NPPES |
| 002002422 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 8291 (Nevada) | Primary |
| Provider Name | Monica J Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942307855 PECOS PAC ID: 1153451083 Enrollment ID: I20100618000735 |
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