Quanetta Linda Bazile, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1703 Issued in NV

Practice address

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317

Phone

(702) 961-7310

Fax

(844) 231-4920

NPI assigned

Oct 9, 2007

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NV, CA, OH4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Sunrise Mountainview Multispecialty Clinics LLCGroup PAC ID 1759469711, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBAABA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Sunrise Mountainview Multispecialty Clinics, LLC

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1043402522
  Medicare reassignment Care Compare group
• Access Telecare California, P.C.

  • Neurology Physician
  • Dallas, TX
  • NPI 1861959959

  CA

  Medicare reassignment
• Bexar Physician Services, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1730960998
  Medicare reassignment
• Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp

  • Internal Medicine Physician
  • Chillicothe, OH
  • NPI 1861038069
  Medicare reassignment
• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1689611774
  NPD (past)
• Vkostanianmd PC

  • Vascular & Interventional Radiology Physician
  • Henderson, NV
  • NPI 1679205405
  NPD (past)
• Michigan Medical Patient Care

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1073567806
  NPD (past)
• Michigan Medical Patient Care

  • Durable Medical Equipment & Medical Supplies
  • Holland, MI
  • NPI 1871741652
  NPD (past)
• Texas Neurology, P.a.

  dba Texas Neurology Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1801377528
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1669660221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092317",
            "telephone_number": "702-961-7310",
            "fax_number": "844-231-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092317",
            "telephone_number": "702-961-7310",
            "fax_number": "844-231-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZILE",
        "first_name": "QUANETTA",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05764",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004715",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lynn Baysinger
• Sharon Baysinger
• Ramon Gonzales Bayuga, NP
• Eleni Bazezew
• Toni Elizabeth Bazile - Caldwell
• BBS Services LLC
• BC&C
• Be Better Services
• Be Well Counseling and Services Center
• Be Well Counseling and Services Center

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.