Jonathan Patrick Staidle, MD - Medicare Dermatology in Sparks, NV

  1. Home
  2. Dermatology
  3. NV
  4. Sparks
Jonathan Patrick Staidle, MD is a medicare enrolled "Dermatology" physician in Sparks, Nevada. He went to Northeastern Ohio University College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Mountain West Derm - Blackhart Pllc and his current practice location is 4814 Sparks Blvd, Sparks, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 327-0699.

Jonathan Patrick Staidle is licensed to practice in Ohio (license number 35-126612) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982994455.

Contact Information

Jonathan Patrick Staidle, MD
4814 Sparks Blvd,
Sparks, NV 89436-8219
(775) 327-0699
(775) 451-7501

Map and Direction




Physician's Profile

Full NameJonathan Patrick Staidle
GenderMale
SpecialityDermatology
Experience13 Years
Location4814 Sparks Blvd, Sparks, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Patrick Staidle attended and graduated from Northeastern Ohio University College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1982994455
  • Provider Enumeration Date: 04/18/2011
  • Last Update Date: 01/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537397799
  • Enrollment ID: I20170815001293

Medical Identifiers

Medical identifiers for Jonathan Patrick Staidle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982994455NPI-NPPES
0129749MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery MD457066 (Pennsylvania)Secondary
207N00000XDermatology 35-126612 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain West Derm - Blackhart Pllc1153609813105

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Patrick Staidle allows following entities to bill medicare on his behalf.
Entity NameMountain West Derm - Blackhart Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740633015
PECOS PAC ID: 1153609813
Enrollment ID: O20161031002278

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Patrick Staidle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jonathan Patrick Staidle, MD
640 W Moana Ln,
Reno, NV 89509-4903

Ph: (775) 324-0699		Jonathan Patrick Staidle, MD
4814 Sparks Blvd,
Sparks, NV 89436-8219

Ph: (775) 327-0699

Reviews and Comments


Dermatology Doctors in Sparks, NV

Irene Helen Mannering, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4814 Sparks Blvd, Sparks, NV 89436
Phone: 753-240-6997    Fax: 775-323-6814
Dr. James A Torok, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2345 E Prater Way, #205, Sparks, NV 89434
Phone: 775-331-2882    Fax: 775-331-2976
Dr. Michael Riley Heaphy Jr., M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4814 Sparks Blvd, Sparks, NV 89436
Phone: 775-324-0699    Fax: 775-323-6814
Dr. Samantha Lynn Schneider, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5050 Vista Blvd Unit 102, Sparks, NV 89436
Phone: 775-451-3376    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.