Dr Scott Gustav Samelson, MD | |
925 North Lake Blvd, Tahoe City, CA 96145 | |
(530) 581-8864 | |
Not Available |
Full Name | Dr Scott Gustav Samelson |
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Gender | Male |
Speciality | Family Medicine |
Location | 925 North Lake Blvd, Tahoe City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356583264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A126885 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (Colorado) | Secondary |
Entity Name | Truckee Tahoe Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081696 PECOS PAC ID: 3779570395 Enrollment ID: O20040427000651 |
Mailing Address | Practice Location Address |
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Dr Scott Gustav Samelson, MD 10115 W River St, Truckee, CA 96161-0324 Ph: (530) 386-1701 | Dr Scott Gustav Samelson, MD 925 North Lake Blvd, Tahoe City, CA 96145 Ph: (530) 581-8864 |
Dr. Richard Michael Klein, M.D., F.A.A.F.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Sierra Terrace Rd., Tahoe City, CA 96145 Phone: 530-583-9392 Fax: 530-583-9335 | |
Katy Schousen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 North Lake Blvd, Tahoe City, CA 96145 Phone: 530-581-8864 |