Dr David Alan Tack, MD | |
1100 S Carson St, Carson City, NV 89701-5232 | |
(775) 883-7811 | |
Not Available |
Full Name | Dr David Alan Tack |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 26 Years |
Location | 1100 S Carson St, Carson City, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124032990 | NPI | - | NPPES |
11209 | Other | NV | NV STATE MED. LIC # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 11209 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clemmensen, Adams, And Tack Psc | 1052398591 | 8 |
Entity Name | Clemmensen, Adams, & Tack Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780852368 PECOS PAC ID: 1052398591 Enrollment ID: O20040702000297 |
Mailing Address | Practice Location Address |
---|---|
Dr David Alan Tack, MD 227 St Albans Pl, Carson City, NV 89703-4546 Ph: (775) 841-5259 | Dr David Alan Tack, MD 1100 S Carson St, Carson City, NV 89701-5232 Ph: (775) 883-7811 |
Dr. Jay Stanley Adams, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Carson Dermatology, 1100 South Carson Street, Carson City, NV 89701 Phone: 775-883-7811 Fax: 775-883-7871 | |
Dr. Ruth Elizabeth Adams, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 S Carson St, Carson Dematology, Carson City, NV 89701 Phone: 775-883-7811 Fax: 775-883-7871 | |
Charles Clemmensen, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1100 S Carson St, Carson City, NV 89701 Phone: 775-883-7811 |