Nicholas Manguso, MD | |
1500 E 2nd St Ste 300, Reno, NV 89502-1198 | |
(775) 982-5000 | |
(775) 982-3900 |
Full Name | Nicholas Manguso |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1500 E 2nd St Ste 300, 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 |
---|---|---|---|
1093199457 | NPI | - | NPPES |
13863245 | Other | NV | CAQH # |
22231 | Other | NV | NV LIC# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 137149 (California) | Secondary |
208600000X | Surgery | 22231 (Nevada) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Manguso, MD 1500 E 2nd St Ste 300, Reno, NV 89502-1198 Ph: (775) 982-5000 | Nicholas Manguso, MD 1500 E 2nd St Ste 300, Reno, NV 89502-1198 Ph: (775) 982-5000 |
John Lloyd Haller, MD Surgery Medicare: Medicare Enrolled Practice Location: 1500 E 2nd St, Suite 206, Reno, NV 89502 Phone: 775-789-7000 Fax: 775-789-7040 | |
Colleen M O'kelly Priddy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St Ste 300, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Dr. Mitzi M Miller, MD Surgery Medicare: Medicare Enrolled Practice Location: 975 Kirman Ave # 112, Reno, NV 89502 Phone: 775-328-1242 Fax: 775-337-2204 | |
Alvaro H Devia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6554 S Mccarran Blvd, #b, Reno, NV 89509 Phone: 775-324-0288 Fax: 775-323-5504 | |
Michael Gainey, Surgery Medicare: Medicare Enrolled Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-786-7200 | |
Philip G Lisagor, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-328-1242 |