Dr Matthew Paul Wonnacott, MD | |
2201 South Ave, South Lake Tahoe, CA 96150-7025 | |
(530) 543-5623 | |
(530) 541-5738 |
Full Name | Dr Matthew Paul Wonnacott |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 2201 South Ave, South Lake Tahoe, California |
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 |
---|---|---|---|
1144214495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A64012 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Barton Hospital D/p Snf | South lake tahoe, CA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barton Medical Foundation | 5395127682 | 66 |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Barton Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Paul Wonnacott, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr Matthew Paul Wonnacott, MD 2201 South Ave, South Lake Tahoe, CA 96150-7025 Ph: (530) 543-5623 |
Monika Lisa Mehrens, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 Fax: 530-541-8723 | |
Dr. Brooks Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 | |
Dr. Paul William Rork, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Dr. Abby Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2155 South Ave, #25-a, South Lake Tahoe, CA 96158 Phone: 530-541-3286 Fax: 530-541-2005 | |
Brooke M Pancio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Dr. Erin Elizabeth Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 |