William R Shepard, DO | |
1139 3rd St, South Lake Tahoe, CA 96150 | |
(530) 543-5691 | |
(530) 542-2872 |
Full Name | William R Shepard |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 1139 3rd St, South Lake Tahoe, California |
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 |
---|---|---|---|
1427310895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DO2454 (Nevada) | Secondary |
208600000X | Surgery | 20A16448 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barton Medical Foundation | 5395127682 | 66 |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Barton Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
Entity Name | Barton Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
Mailing Address | Practice Location Address |
---|---|
William R Shepard, DO 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | William R Shepard, DO 1139 3rd St, South Lake Tahoe, CA 96150 Ph: (530) 543-5691 |
Dr. Gregory Gene Eyre, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2158 Jean Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5691 Fax: 531-542-2872 | |
Kimberly Anne Evans, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5691 Fax: 530-542-2872 |