Dr Hideki Ichino, MD | |
1500 E 2nd St, Suite 400, Reno, NV 89502-1262 | |
(775) 982-2400 | |
(775) 982-3294 |
Full Name | Dr Hideki Ichino |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 30 Years |
Location | 1500 E 2nd St, Reno, 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 |
---|---|---|---|
1033136932 | NPI | - | NPPES |
CC3194 | Other | NV | BLUE CROSS BLUE SHIELD |
1033136932 | Medicaid | NV | |
11040684 | Other | CAQH | |
XPY197049 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 10159 (Nevada) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 10159 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Renown Regional Medical Center | Reno, NV | Hospital |
Renown South Meadows Medical Center | Reno, NV | Hospital |
Banner Lassen Medical Center | Susanville, CA | Hospital |
Plumas District Hospital | Quincy, CA | Hospital |
Northern Nevada Medical Center | Sparks, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Services Llc | 1951324318 | 391 |
Entity Name | Community Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
Mailing Address | Practice Location Address |
---|---|
Dr Hideki Ichino, MD 1155 Mill St # Mcm14, Reno, NV 89502-1576 Ph: (775) 982-5262 | Dr Hideki Ichino, MD 1500 E 2nd St, Suite 400, Reno, NV 89502-1262 Ph: (775) 982-2400 |
Dr. Richard Bruce Rosen, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 781 Mill St, Reno, NV 89502 Phone: 775-398-1980 Fax: 775-398-1981 | |
Rahul Navin Mediwala, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St, Suite 201, Reno, NV 89502 Phone: 775-982-3355 Fax: 775-982-3356 | |
Dr. Raymond Hill Scott Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Crampton St, Reno, NV 89502 Phone: 775-336-3700 Fax: 775-336-3701 | |
Dr. Bruce William Denney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St Ms W14, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 | |
Dr. Elmer Epres Alegre, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1715 Kuenzli St, Reno, NV 89502 Phone: 775-329-5162 Fax: 775-334-4356 | |
Dr. Devang Mahesh Desai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5390 Longley Ln, Reno, NV 89511 Phone: 775-302-0000 Fax: 775-260-0368 | |
Dr. Louis Christopher Tripoli, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1510 Meadow Wood Ln, Prominence Health, Reno, NV 89502 Phone: 775-770-9242 Fax: 928-832-2864 |