Stephen Lane Perry, MD | |
1600 Medical Pkwy, Carson City, NV 89703-4625 | |
(775) 445-8795 | |
(775) 445-5175 |
Full Name | Stephen Lane Perry |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 36 Years |
Location | 1600 Medical Pkwy, Carson City, 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 |
---|---|---|---|
1316943913 | NPI | - | NPPES |
002003001 | Medicaid | NV | |
XPY187973 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 6526 (Nevada) | Secondary |
208M00000X | Hospitalist | 6526 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Humboldt General Hospital | Winnemucca, NV | Hospital |
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stephen Holtzclaw Md Pc | 1850471939 | 40 |
Humboldt General Hospital | 5193709798 | 36 |
Entity Name | Humboldt General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922152784 PECOS PAC ID: 5193709798 Enrollment ID: O20040614000195 |
Entity Name | Humboldt General Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1750498010 PECOS PAC ID: 5193709798 Enrollment ID: O20061104000361 |
Entity Name | Stephen Holtzclaw Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063608701 PECOS PAC ID: 1850471939 Enrollment ID: O20080102000072 |
Mailing Address | Practice Location Address |
---|---|
Stephen Lane Perry, MD Po Box 3299, Carson City, NV 89702-3299 Ph: (775) 222-0042 | Stephen Lane Perry, MD 1600 Medical Pkwy, Carson City, NV 89703-4625 Ph: (775) 445-8795 |
Elisabeth A Mates, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 | |
Dr. Dinadelle Barroso Viola, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Pkwy, Lake Tahoe Regional Hospitalists, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 | |
David M Miller, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 |