Individual ProviderNgoc Loan TongNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9300 W Sunset Rd, Las Vegas, NV 89148-4844(702) 916-5000(702) 476-2240PECOS EnrollmentBased on the most recent information from CMS, provider Ngoc Loan Tong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1669232096Provider TypeIndividualFull NameTong, Ngoc LoanGenderFemaleSole ProprietorNoEnumeration Date3/21/2024Last Updated4/28/2024Contact InformationPractice LocationPractice Address9300 W Sunset Rd, Las Vegas, NV 89148-4844Phone(702) 916-5000FaxUnlisted FaxMailing LocationMailing Address8880 W Sunset Rd, Las Vegas, NV 89148-5004Phone(702) 476-2240FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense876136Nevada