| William Moffat DO PLLC | |
|
5970 S Rainbow Blvd Las Vegas NV 89118-4200 | |
| (702) 363-4000 | |
| (702) 362-0086 |
| Full Name | William Moffat DO PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5970 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Jenna Arroyo (CREDENTIALING) |
| Authorized Official Contact | 7023634000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Moffat DO PLLC 5970 S Rainbow Blvd Las Vegas NV 89118-4200 Ph: (702) 363-4000 | William Moffat DO PLLC 5970 S Rainbow Blvd Las Vegas NV 89118-4200 Ph: (702) 363-4000 |
| NPI Number | 1932098977 |
|---|---|
| Provider Enumeration Date | 07/02/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Medicare PECOS PAC ID | 7719480888 |
|---|---|
| Medicare Enrollment ID | O20250912004117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932098977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Julie a Gidvani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811148927 PECOS PAC ID: 8123162039 Enrollment ID: I20100216000500 |
| Provider Name | Kenneth Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770049264 PECOS PAC ID: 0042552556 Enrollment ID: I20190502002975 |
| Provider Name | William Moffat |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386224079 PECOS PAC ID: 1850789868 Enrollment ID: I20240119003360 |
| Provider Name | Hannah Marie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093438012 PECOS PAC ID: 7911349790 Enrollment ID: I20240524000562 |
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