Paul Fry, | |
1520 Virginia Ranch Road, Suite 101b, Gardnerville, NV 89410-5731 | |
(775) 782-2442 | |
(775) 782-7205 |
Full Name | Paul Fry |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 41 Years |
Location | 1520 Virginia Ranch Road, Gardnerville, 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 |
---|---|---|---|
1255322640 | NPI | - | NPPES |
002003052 | Medicaid | NV | |
00G545900 | Other | CA | MEDI-CAL |
200034256 | Other | CA | MEDICARE RAILROAD |
P00343660 | Other | NV | MEDICARE RAILROAD |
CC6619 | Other | NV | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G54590 (California) | Secondary |
207X00000X | Orthopaedic Surgery | 6420 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Lyon Medical Center | Yerington, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Lyon Health Center Inc | 0648178533 | 13 |
Entity Name | South Lyon Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932160363 PECOS PAC ID: 0648178533 Enrollment ID: O20031230000357 |
Entity Name | Tahoe Fracture And Orthopedic Medical Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750372140 PECOS PAC ID: 8628979267 Enrollment ID: O20040116000723 |
Entity Name | James J Lynch M D Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285649608 PECOS PAC ID: 9133188626 Enrollment ID: O20041008001262 |
Entity Name | South Lyon Health Center Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1376917302 PECOS PAC ID: 0648178533 Enrollment ID: O20160113002811 |
Mailing Address | Practice Location Address |
---|---|
Paul Fry, 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 Ph: (775) 783-6190 | Paul Fry, 1520 Virginia Ranch Road, Suite 101b, Gardnerville, NV 89410-5731 Ph: (775) 782-2442 |
Dr. Edward M Tapper, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410 Phone: 775-782-2442 Fax: 775-783-6199 | |
Scott Wilson Southard, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410 Phone: 530-541-4119 Fax: 530-541-3246 | |
Dr. Paul Williams Phillips Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 Phone: 775-782-3767 |