Centerwell Senior Primary Care (nv) Pc - Medicare Primary Care in Las Vegas, NV

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Centerwell Senior Primary Care (nv) Pc is a medicare enrolled primary clinic (Internal Medicine) in Las Vegas, Nevada. The current practice location for Centerwell Senior Primary Care (nv) Pc is 4001 S Decatur Blvd Ste 25, Las Vegas, Nevada. For appointments, you can reach them via phone at (725) 224-6967. The mailing address for Centerwell Senior Primary Care (nv) Pc is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care (nv) Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285257667. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (725) 224-6967.

Contact Information

Centerwell Senior Primary Care (nv) Pc
4001 S Decatur Blvd Ste 25
Las Vegas
NV 89103-5857
(725) 224-6967
(833) 749-0357

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care (nv) Pc
SpecialityInternal Medicine
Location4001 S Decatur Blvd Ste 25, Las Vegas, Nevada
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care (nv) Pc
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120		Centerwell Senior Primary Care (nv) Pc
4001 S Decatur Blvd Ste 25
Las Vegas
NV 89103-5857

Ph: (725) 224-6967

NPI Details:

NPI Number1285257667
Provider Enumeration Date05/20/2020
Last Update Date02/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5092132340
Medicare Enrollment IDO20200901001111

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care (nv) Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285257667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care (nv) Pc acts as a billing entity for following providers:
Provider NameDouglas R Budde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457321580
PECOS PAC ID: 2769475201
Enrollment ID: I20040408000383
Provider NameKristi A Asante
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1811955354
PECOS PAC ID: 9133189566
Enrollment ID: I20041012000180
Provider NameEvangelia Papageorge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780657262
PECOS PAC ID: 8628982345
Enrollment ID: I20050401000179
Provider NameNancy T Lao
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174596431
PECOS PAC ID: 2062446719
Enrollment ID: I20050921001080
Provider NameTracy J Wakefield
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053369827
PECOS PAC ID: 0941203079
Enrollment ID: I20060810000351
Provider NameKaryn Harries
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376571455
PECOS PAC ID: 0446143853
Enrollment ID: I20060811000154
Provider NameBinh N Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801998166
PECOS PAC ID: 4880693464
Enrollment ID: I20061208000113
Provider NameGreg E Fihn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114013901
PECOS PAC ID: 5395837751
Enrollment ID: I20070816000140
Provider NameRachael Ann Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588818207
PECOS PAC ID: 5890852610
Enrollment ID: I20090324000120
Provider NameStacey M Cadaval
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518118850
PECOS PAC ID: 5193870525
Enrollment ID: I20090908000562
Provider NameJennifer D Avena
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578528998
PECOS PAC ID: 8426181439
Enrollment ID: I20100728000215
Provider NameAngela Nicole Ortega-bermudez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982873360
PECOS PAC ID: 5991999344
Enrollment ID: I20101030000108
Provider NameInna Zdorovyak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437375433
PECOS PAC ID: 2062583297
Enrollment ID: I20110112000750
Provider NameTroy Schumacher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215193784
PECOS PAC ID: 2567621253
Enrollment ID: I20120315000879
Provider NameKasey Laz Abanonu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609109644
PECOS PAC ID: 7113063173
Enrollment ID: I20120517000595
Provider NameJonathan H Li
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780667709
PECOS PAC ID: 5092964999
Enrollment ID: I20121010000167
Provider NameFuzhan Parhizgar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881993343
PECOS PAC ID: 8729208541
Enrollment ID: I20140930000677
Provider NameChristina Henry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629412002
PECOS PAC ID: 3173838323
Enrollment ID: I20150817001730
Provider NameBrent Devera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609134048
PECOS PAC ID: 5395069041
Enrollment ID: I20151015000981
Provider NameMarisela Nadeau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841519808
PECOS PAC ID: 3779881735
Enrollment ID: I20160407002123
Provider NameDeepa D Kordick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396087094
PECOS PAC ID: 3173755873
Enrollment ID: I20170131001419
Provider NameKahrenanne Alegre Dy-patacsil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346786498
PECOS PAC ID: 9739464439
Enrollment ID: I20170320002579
Provider NameJack Yang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720405830
PECOS PAC ID: 6002035425
Enrollment ID: I20170815002212
Provider NameDorothy May Agdamag
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780195446
PECOS PAC ID: 0840558524
Enrollment ID: I20180102000167
Provider NameHeather Elisabeth Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801309919
PECOS PAC ID: 7315203924
Enrollment ID: I20180627000880
Provider NameRobert Michael Russ
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225008501
PECOS PAC ID: 0042344004
Enrollment ID: I20181009003029
Provider NameDemian Gitnacht
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679899579
PECOS PAC ID: 1456523471
Enrollment ID: I20190114002678
Provider NameHayley Kuhn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326454307
PECOS PAC ID: 7810116415
Enrollment ID: I20190328000942
Provider NameLauren Kay Rojas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578041125
PECOS PAC ID: 6709128390
Enrollment ID: I20190501000943
Provider NameGregory Desimone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851785687
PECOS PAC ID: 4688966328
Enrollment ID: I20190708002335
Provider NameSonia M Garcia Jayne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679922959
PECOS PAC ID: 7517252497
Enrollment ID: I20190716002096
Provider NameHeather Ballantyne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619532876
PECOS PAC ID: 5799012480
Enrollment ID: I20190802001119
Provider NameIfeanyi C Madu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295295038
PECOS PAC ID: 2860729647
Enrollment ID: I20190816001757
Provider NameNoni Hayman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306310354
PECOS PAC ID: 6608107529
Enrollment ID: I20191008001199
Provider NameJoyce Carlos Damiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275169013
PECOS PAC ID: 8921438805
Enrollment ID: I20200416001061
Provider NameMichael Adam Wong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649701814
PECOS PAC ID: 6406276864
Enrollment ID: I20201023001682
Provider NameRosemarie E Carandang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821431032
PECOS PAC ID: 6709023617
Enrollment ID: I20201118001325
Provider NameCharlie Lin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659314763
PECOS PAC ID: 3476456682
Enrollment ID: I20210114001678
Provider NameThomas M Bergren
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770094153
PECOS PAC ID: 9830504414
Enrollment ID: I20210211002263
Provider NameEmilia Boffi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962866442
PECOS PAC ID: 3577971977
Enrollment ID: I20210423002363
Provider NameMichael K Chau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447832688
PECOS PAC ID: 5890197503
Enrollment ID: I20210716001041
Provider NameMatthew R Martini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760154264
PECOS PAC ID: 6406245315
Enrollment ID: I20211116000171
Provider NameHarsahiba Kaur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144724766
PECOS PAC ID: 9537551965
Enrollment ID: I20220117000438
Provider NameJuliana Adjovu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619496684
PECOS PAC ID: 5799047163
Enrollment ID: I20220413000002
Provider NameMarilou Sadicon Sorensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265139893
PECOS PAC ID: 3678948403
Enrollment ID: I20230410002105
Provider NameKevin Ngo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760019335
PECOS PAC ID: 9638567530
Enrollment ID: I20230731001102
Provider NameWeston Krauss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154942068
PECOS PAC ID: 3274994736
Enrollment ID: I20230731002242
Provider NameBrittney M Mccadney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023539129
PECOS PAC ID: 5799149779
Enrollment ID: I20230908002048
Provider NameHarry Shaw Strothers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861492720
PECOS PAC ID: 2860468154
Enrollment ID: I20240129003621
Provider NameGabriel Estrada Sotomayor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235711326
PECOS PAC ID: 0547661738
Enrollment ID: I20240813003674
Provider NameAdam Mckeown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073950846
PECOS PAC ID: 9739467119
Enrollment ID: I20240929000165
Provider NameCherielynn Wagner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295175271
PECOS PAC ID: 5597994897
Enrollment ID: I20241017001865
Provider NameKien Thanh Tran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821073297
PECOS PAC ID: 0143233387
Enrollment ID: I20241114004465
Provider NameAlex Michael Ma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972180404
PECOS PAC ID: 2567860802
Enrollment ID: I20250318000515
Provider NameMichelle Pelagio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437931920
PECOS PAC ID: 1153772165
Enrollment ID: I20250612000405

Reviews and Comments


Internal Medicine in Las Vegas, NV

Medical Group At Sun City, Llp
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Phone: 702-240-8155    Fax: 702-240-8161
Viren B Patel Do A Professional Corporation
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Rebecca Garcia Fnp
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Bedrock Medical Llc
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.