Susan A Doberneck, MD | |
1600 Medical Pkwy, Carson City, NV 89703-4625 | |
(775) 445-8502 | |
(775) 888-4448 |
Full Name | Susan A Doberneck |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 38 Years |
Location | 1600 Medical Pkwy, Carson City, Nevada |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639249022 | NPI | - | NPPES |
1639249022 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 7169 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diagnostic Pathology Medical Group Inc | 2860489218 | 29 |
Entity Name | Carson-tahoe Pathology Drs Jack & Doberneck Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104971183 PECOS PAC ID: 3971556978 Enrollment ID: O20050302000529 |
Entity Name | Diagnostic Pathology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417636093 PECOS PAC ID: 2860489218 Enrollment ID: O20181127003463 |
Mailing Address | Practice Location Address |
---|---|
Susan A Doberneck, MD Po Box 21609, Carson City, NV 89721-1609 Ph: (775) 884-2455 | Susan A Doberneck, MD 1600 Medical Pkwy, Carson City, NV 89703-4625 Ph: (775) 445-8502 |
Elizabeth Anne Jack, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8502 Fax: 775-888-4448 | |
Mark R Wolz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-885-4327 Fax: 775-884-0345 |