Scott Wilson Southard, MD | |
1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 | |
(530) 541-4119 | |
(530) 541-3246 |
Full Name | Scott Wilson Southard |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 42 Years |
Location | 1520 Virginia Ranch Rd Ste 1b, Gardnerville, 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 |
---|---|---|---|
1134176274 | NPI | - | NPPES |
002003053 | Medicaid | NV | |
00G600291 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G60029 (California) | Secondary |
207X00000X | Orthopaedic Surgery | 6292 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carson Valley Medical Center | Gardnerville, NV | Hospital |
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott W Southard Md Inc | 4183777980 | 2 |
Entity Name | Scott W Southard Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811136161 PECOS PAC ID: 4183777980 Enrollment ID: O20090727000382 |
Mailing Address | Practice Location Address |
---|---|
Scott Wilson Southard, MD 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 Ph: (530) 541-4119 | Scott Wilson Southard, MD 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 Ph: (530) 541-4119 |
Dr. Edward M Tapper, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410 Phone: 775-782-2442 Fax: 775-783-6199 | |
Paul Fry, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 Virginia Ranch Road, Suite 101b, Gardnerville, NV 89410 Phone: 775-782-2442 Fax: 775-782-7205 | |
Dr. Paul Williams Phillips Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 Phone: 775-782-3767 |