Patient Form
Please fillout your patient’s online registration form below
Or you can download and fillout your patient’s registration form below
- You can email the form to apachefoot@gmail.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
Apache Foot & Ankle Specialist
2901 N Tenaya Way, Ste 200, Las Vegas, NV 89128
(702) 362-2622
(702) 362-0422
Our Location
Copyright 2019 Apachefoot.com | Podiatrist Las Vegas | Foot Surgeon Las Vegas | Foot Doctor Las Vegas