Tammara Sam Beeghly, PA
Individual provider Active NPI Medical Physician Assistant · Las Vegas, NV
NPI 1922033455 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1922033455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA0265 (NV)
- Practice address
- 8930 W Sunset Rd Ste 370
Las Vegas, NV 89148-5042 - Phone
- (702) 248-2228
- Fax
- (702) 248-2213
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2110 E Flamingo Rd
Suite 104
Las Vegas, NV 89119-5191
Phone (702) 248-2228
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040914000600 | NV | Practitioner - Physician Assistant | 6103893664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0265 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Mead Emergency Physicians, LLC | Past | Accepting new patients | |
| Rubin H. Saavedra MD LTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA0265 | NV | Yes |
| Medical Physician Assistant | 363AM0700X | PA829 | NV |
Addresses
Primary practice location
8930 W Sunset Rd Ste 370
Las Vegas, NV 89148-5042
Mailing address
PO Box 531353
Henderson, NV 89053-1353
Phone (702) 248-2228
Other providers in Las Vegas, NV
- Michael D Beebe
- James Edward Beecham
- Nicole Beecher
- John Beedle
- Rikki Beedle
- Beehive Homes of Paradise Valley Inc
- Randy S Beekman
- Jerome Beeler
- Ashanti Beeman
- Courtney Nicol Beeman
All providers in Las Vegas, NV · Medical Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.