Shannon R Michelson, MD | |
10581 Double R Blvd, Reno, NV 89521 | |
(775) 324-0766 | |
(775) 324-0788 |
Full Name | Shannon R Michelson |
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Gender | Female |
Speciality | Pediatrics |
Location | 10581 Double R Blvd, 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 |
---|---|---|---|
1265694822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 13972 (Nevada) | Primary |
Entity Name | Pokroy Medical Group Of Nevada Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992809412 PECOS PAC ID: 7911037643 Enrollment ID: O20100607000694 |
Mailing Address | Practice Location Address |
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Shannon R Michelson, MD Po Box 18069, Reno, NV 89511 Ph: (775) 324-0766 | Shannon R Michelson, MD 10581 Double R Blvd, Reno, NV 89521 Ph: (775) 324-0766 |
Deborah Ivane Vydra, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 Reno Corporate Dr, Reno, NV 89511 Phone: 775-329-5555 | |
Susan E. Chambers-sorensen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way, Suite 300, Reno, NV 89502 Phone: 775-982-6020 Fax: 775-982-6021 | |
Dr. Sonia Budhecha, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Pringle Way, 505, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Lindsay Koppinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10581 Double R Blvd, Reno, NV 89521 Phone: 775-324-0766 | |
Max Coppes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way, Ste 505, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Lauren Lee Sandefur, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 901 E 2nd St Ste 201, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3971 | |
Meredith Reynolds, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Jones St, Reno, NV 89503 Phone: 775-322-1880 Fax: 775-322-1808 |