Dr Gary Max Deshazo, DO in Las Vegas, NV - Medicare

Dr Gary Max Deshazo, DO is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. His current practice location is 2901 N Tenaya Way Ste 100, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 870-8852.

Dr Gary Max Deshazo is licensed to practice in Nevada (license number 380) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568512101.

Contact Information

	Dr Gary Max Deshazo, DO
	2901 N Tenaya Way Ste 100, Las Vegas, NV 89128-1404
	(702) 870-8852
	(702) 870-8914

Physician's Profile

Full Name	Dr Gary Max Deshazo
Gender	Male
Speciality
Experience	Years
Location	2901 N Tenaya Way Ste 100, Las Vegas, Nevada
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gary Max Deshazo attended and graduated from in

NPI Data:

NPI Number: 1568512101
Provider Enumeration Date: 01/12/2007
Last Update Date: 02/17/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Gary Max Deshazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568512101	NPI	-	NPPES
CC4619	Other	NV	BLUE CROSS PIN
002002672	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	380 (Nevada)	Secondary
261QC1500X	Clinic/center - Community Health	380 (Nevada)	Secondary
207Q00000X	Family Medicine	380 (Nevada)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Max Deshazo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gary Max Deshazo, DO 2901 N Tenaya Way Ste 100, Las Vegas, NV 89128-1404 Ph: (702) 870-8852	Dr Gary Max Deshazo, DO 2901 N Tenaya Way Ste 100, Las Vegas, NV 89128-1404 Ph: (702) 870-8852

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Family Medicine Doctors in Las Vegas, NV

Nittu Singh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113 Phone: 702-952-9171 Fax: 702-952-9170
Dr. Alan Michael Zeto Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3540 W Sahara Ave, Las Vegas, NV 89102 Phone: 702-921-6823
Dr. Kevin Ray Buckwalter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128 Phone: 702-568-8450 Fax: 702-568-8451
Frederick J Lippmann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5785 Centennial Center Blvd Ste 230, Las Vegas, NV 89149 Phone: 702-383-2273 Fax: 702-366-0570
Dr. Constance Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121 Phone: 702-606-8737 Fax: 702-485-5212
Dr. Chad Robinson Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470
Dr. James Anthony Radford, DO, DC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 N Nellis Blvd, Las Vegas, NV 89110 Phone: 619-515-2498

Dr Gary Max Deshazo, DO - Medicare in Las Vegas, NV