Jonathan Theriot, DO | |
10315 Professional Cir Ste 101, Reno, NV 89521-4803 | |
(775) 982-2828 | |
(775) 982-2834 |
Full Name | Jonathan Theriot |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 10315 Professional Cir Ste 101, Reno, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912402744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DO3118 (Nevada) | Primary |
208D00000X | General Practice | 008400 (Arizona) | Secondary |
Entity Name | Community Care Services Llc |
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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 |
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Jonathan Theriot, DO 1155 Mill St # M14, Reno, NV 89502-1576 Ph: (775) 982-5262 | Jonathan Theriot, DO 10315 Professional Cir Ste 101, Reno, NV 89521-4803 Ph: (775) 982-2828 |
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 |