Tri-State Medical Specialists LLC
A Medicare group practice based in Las Vegas, NV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1850422023), with 15 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1850422023
- Provider type
- DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AZ, CA, NV
- Enrollments
- 4
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100702000024 | AZ | Part B Supplier - Clinic/Group Practice | 1649598426 |
| O20110630000633 | AZ | DME Supplier - Physician - General Practice | 1649598426 |
| O20111011000229 | NV | Part B Supplier - Clinic/Group Practice | 1649598426 |
| O20140630000650 | CA | Part B Supplier - Clinic/Group Practice | 1649598426 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Tri-State Medical Specialists LLC
dba TriState Pain Institute
- Pain Medicine Physician
- Fort Mohave, AZ
- NPI 1649598426
-
Tri-State Medical Specialists LLC
dba Tri-State Pain Institute
- Pain Medicine Physician
- Henderson, NV
- NPI 1811464118
Practice locations
- Las Vegas, NV3
- Fort Mohave, AZ2
- Needles, CA1
- Henderson, NV1
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (5).
-
Nitish Aggarwal, MD/MBA
- Interventional Pain Medicine Physician
- Fort Mohave, AZ
- NPI 1518457258
-
Eric Fergen, PA
- Physician Assistant
- Bullhead City, AZ
- NPI 1245622646
-
Sheryl Kimberly Gore, F.N.P.
- Family Nurse Practitioner
- Hereford, AZ
- NPI 1457538431
-
Ronald E Harbut, MD
- Pain Medicine (Anesthesiology) Physician
- Hot Springs National Park, AR
- NPI 1588618946
-
Scott Andrew Havens, MD
- Addiction Medicine (Psychiatry & Neurology) Physician
- Phoenix, AZ
- NPI 1679682785
-
Okey Iloegbunam, FNP
- Nurse Practitioner
- Fort Mohave, AZ
- NPI 1477072130
-
Gerard Anthony Myers, DO
- Anesthesiology Physician
- Monaca, PA
- NPI 1740235944
-
Praveen Natakal Pakeerappa, M.D.
- Physical Medicine & Rehabilitation Physician
- Paris, TX
- NPI 1457645830
-
Catherine R Nevels, FNP
- Nurse Practitioner
- Harrisburg, IL
- NPI 1326558222
-
Marlyce E Parker, APN
- Gerontology Nurse Practitioner
- Bullhead City, AZ
- NPI 1497726053
-
Stephen Charles Sirota, MD
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1720074800
-
Charles Raymond Stevens, M.D.
- Pain Medicine (Anesthesiology) Physician
- El Centro, CA
- NPI 1003001363
-
Karl Udalve Tabora
- Family Nurse Practitioner
- Needles, CA
- NPI 1225826720
-
Bagambhrini Gerace Thompkins, MD
- Family Medicine Physician
- Santa Fe, NM
- NPI 1851885628
-
Michael H Wright, MD
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1649242678
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.