Patient Form

Please download and fillout your patient’s registration form below

  • You can email the form to apachefoot@outlook.com
  • You can fax the form to 702-362-0422
  • You can bring the form with you at the time of appointment

We Are Also Accepting Attorney Liens

Insurance Carriers

  • AARP- Medicare Supplement
  • Aetna Medicare
  • Aetna
  • Amerigroup- For patients under the age of 18 only
  • Anthem (HMO, PPO, Medicare)
  • Bankers Life and Causality
  • Beech Street
  • Operating engineers health fund and welfare trust local 12
  • Southern California pipe Trades health and welfare trust fund
  • Sheet metal workers of Southern California, Arizona, and Nevada Heal and welfare trust fund
  • Blue Cross Blue Shield
  • Construction of industry and Laborers
  • Culinary
  • Coventry Health
  • Champ VA
  • Cigna
  • Electrical Workers
  • First Health Network
  • GEHI
  • GHI
  • Greatwest
  • Health Plan of Nevada (PPO and POS) NO HMO
  • Humana-Gold choice HMO, PPO and POS through the Lexington, KY Address Only
  • Loomis
  • Medicaid( through the state No Smart Choice HPN)
  • Medicare (Part B Benefits)
  • MGM Mirage
  • MGM Direct Health(Auth Required)
  • MultiPlan
  • Mutual of Omaha
  • PacifiCare
  • Painters Trust
  • Plumbers and Pipefitters
  • PEBP
  • Senior Dimension (Out of Network)
  • Sierra Health and Life
  • Sierra Health Care Options
  • Sierra Nevada Spectrum
  • Southern California Pipe Trade Health and Welfare
  • Southwest Administrators
  • Southwest Carpenters
  • Summerlin Life & Health Ins Co
  • Teamsters
  • Teachers Health Trust
  • UMR
  • United American Insurance
  • UnitedHealth Care
  • Universal Health Care
  • Venetian
  • Wynn
  • Zenith Administrators

Contact Us

11 + 13 =

Apache Foot & Ankle Specialist

8530 W Sunset Rd #345 Las Vegas, NV 89113

(702) 362-2622

(702) 362-0422

Our Location

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