Dr Jonathan Taylor Hagen, MD | |
212 Elks Point Rd Ste 200, Zephyr Cove, NV 89448-8001 | |
(775) 589-8950 | |
(775) 588-1299 |
Full Name | Dr Jonathan Taylor Hagen |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 212 Elks Point Rd Ste 200, Zephyr Cove, 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 |
---|---|---|---|
1487915153 | NPI | - | NPPES |
200445860A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A148997 (California) | Secondary |
207X00000X | Orthopaedic Surgery | 17021 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tahoe Forest Hospital | Truckee, CA | Hospital |
Incline Village Community Hospital | Incline village, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tahoe Forest Hospital District | 0446161335 | 111 |
Entity Name | Lake Tahoe Orthopaedic Institute A Watson-swanson Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609937911 PECOS PAC ID: 3375448384 Enrollment ID: O20031203000511 |
Entity Name | Tahoe Forest Hospital District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1801957667 PECOS PAC ID: 0446161335 Enrollment ID: O20040821000218 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Taylor Hagen, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr Jonathan Taylor Hagen, MD 212 Elks Point Rd Ste 200, Zephyr Cove, NV 89448-8001 Ph: (775) 589-8950 |
Dr. Keith Robert Swanson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 212 Elks Point Rd, Ste 200, Zephyr Cove, NV 89448 Phone: 775-589-8950 Fax: 775-588-1299 | |
Dr. Randy Charles Watson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 212 Elks Point Road, Suite 200, Zephyr Cove, NV 89448 Phone: 775-588-3636 Fax: 775-588-1299 | |
Dr. Robert Edward Rupp, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 212 Elks Point Rd, Ste 200, Zephyr Cove, NV 89448 Phone: 775-589-8950 Fax: 775-588-1299 |