Omnia Care Physician Services Llc | |
350 Falcon Ridge Pkwy Ste 101 Mesquite NV 89027-8879 | |
(702) 849-0585 | |
(702) 849-0614 |
Full Name | Omnia Care Physician Services Llc |
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Speciality | Internal Medicine |
Location | 350 Falcon Ridge Pkwy Ste 101, Mesquite, Nevada |
Authorized Official Name and Position | William S Hokanson (MEMBER) |
Authorized Official Contact | 4352298882 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omnia Care Physician Services Llc 350 Falcon Ridge Pkwy Ste 101 Mesquite NV 89027-8879 Ph: (702) 849-0585 | Omnia Care Physician Services Llc 350 Falcon Ridge Pkwy Ste 101 Mesquite NV 89027-8879 Ph: (702) 849-0585 |
NPI Number | 1659018018 |
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Provider Enumeration Date | 05/17/2022 |
Last Update Date | 05/16/2023 |
Medicare PECOS PAC ID | 1951756881 |
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Medicare Enrollment ID | O20231012003992 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659018018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
Provider Name | Haley Elizabeth Morse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053627919 PECOS PAC ID: 4082912167 Enrollment ID: I20160406002279 |
Provider Name | Lonny Dee Krause |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528523206 PECOS PAC ID: 0547595522 Enrollment ID: I20200519001933 |
Provider Name | Justin Gomez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336854504 PECOS PAC ID: 7618340852 Enrollment ID: I20230308002577 |
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