| Curasive,llc | |
|
550 W Washington St Carson City NV 89703-3835 | |
| (864) 547-2160 | |
| (864) 547-2159 |
| Full Name | Curasive,llc |
|---|---|
| Speciality | Counselor |
| Location | 550 W Washington St, Carson City, Nevada |
| Authorized Official Name and Position | Gail A Wilson (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 8648781528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curasive,llc 700 Plaza Cir Ste N Clinton SC 29325-7556 Ph: (864) 547-2160 | Curasive,llc 550 W Washington St Carson City NV 89703-3835 Ph: (864) 547-2160 |
| NPI Number | 1104479971 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Medicare PECOS PAC ID | 7113256124 |
|---|---|
| Medicare Enrollment ID | O20190916003362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104479971 | NPI | - | NPPES |
| DO2555 | Other | NV | MEDICAL LICENSE |
| Provider Name | Charleen Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467890327 PECOS PAC ID: 3476771460 Enrollment ID: I20140904002561 |
| Provider Name | Ravikumar K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629285150 PECOS PAC ID: 0840350260 Enrollment ID: I20190916003441 |
| Provider Name | Ajainder Shergill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366648222 PECOS PAC ID: 6305991928 Enrollment ID: I20200324001781 |
| Provider Name | Katrina Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528462900 PECOS PAC ID: 7517280928 Enrollment ID: I20200820001352 |
| Provider Name | Ryan James Bristol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013597756 PECOS PAC ID: 7012310246 Enrollment ID: I20210727000306 |
| Provider Name | Elysia Lynn Stonem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407388465 PECOS PAC ID: 5698048460 Enrollment ID: I20230131001565 |
| Provider Name | Audry G Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902828155 PECOS PAC ID: 2264759109 Enrollment ID: I20230131002273 |
| Provider Name | Danelle L Mollura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417297771 PECOS PAC ID: 7315177987 Enrollment ID: I20230220000446 |
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