ADAM WILLIAM RANGE PA-C NPI 1457869018

Physician Assistant in Las Vegas, NV

Individual Male Physician Assistant PECOS Enrolled Accepts Medicare Years Experience 4

About ADAM RANGE

Adam Range is a provider established in Las Vegas, Nevada and his medical specialization is physician assistant with more than 4 years of experience. The NPI number of Adam Range is 1457869018 and was assigned on January 2018. The practitioner's primary taxonomy code is 363A00000X with license number PA0390 (NV). The provider is registered as an individual and his NPI record was last updated one year ago. Adam Range is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Centennial Hills Hospital Medical Center.

NPI

1457869018

Provider Name ADAM WILLIAM RANGE PA-C
Provider Location Address8420 W WARM SPRINGS RD # 100 LAS VEGAS, NV 89113
Provider Mailing Address7195 ADVANCED WAY LAS VEGAS, NV 89113
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2017
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-17-2018
Last Update Date09-27-2019

Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA0390
License StateNV
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

ADAM WILLIAM RANGE PA-C
8420 W WARM SPRINGS RD # 100
LAS VEGAS, NV
ZIP 89113
Phone: (702) 740-5327
Fax: (702) 740-5328

Get Directions

Mailing Address

ADAM WILLIAM RANGE PA-C
7195 ADVANCED WAY
LAS VEGAS, NV
ZIP 89113
Phone: (702) 740-5327
Fax: (702) 740-5328

Secondary Locations

901 Rancho Ln Ste 135
Las Vegas, NV 89106
(702) 383-1958
8420 W Warm Springs Rd # 100
Las Vegas, NV 89113
(702) 740-5327

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2668733890
PECOS Enrollment IDI20180302000528
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)Yes
Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
CENTENNIAL HILLS HOSPITAL MEDICAL CENTER6900 N DURANGO DR
LAS VEGAS, NV 89149
Acute Care Hospitals290054

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164728135 BRITTANY FOX HOUGH PA-C
Individual
Physician Assistant8420 W WARM SPRINGS RD # 100
LAS VEGAS, NV 89113
(702) 740-5327
1720319890 TIFFANY ANN TEEPEN PA-C
Individual
Physician Assistant (Surgical)8420 W WARM SPRINGS RD # 100
LAS VEGAS, NV 89113
(702) 740-5327

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.