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9790 Gateway Dr Ste 220 Reno NV 89521-8923 | |
| (775) 251-3917 | |
| (775) 251-3918 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9790 Gateway Dr Ste 220, Reno, Nevada |
| Authorized Official Name and Position | Rolando Ania (OWNER) |
| Authorized Official Contact | 7752513917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 10950 Reno NV 89510-0950 Ph: (775) 251-3917 | 9790 Gateway Dr Ste 220 Reno NV 89521-8923 Ph: (775) 251-3917 |
| NPI Number | 1740913011 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 1951783554 |
|---|---|
| Medicare Enrollment ID | O20220728003064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740913011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kristen M Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073876512 PECOS PAC ID: 3173772456 Enrollment ID: I20121002000030 |
| Provider Name | Rolando Ania |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467682245 PECOS PAC ID: 9436334570 Enrollment ID: I20160407000685 |
| Provider Name | Julie L Hilario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396573 PECOS PAC ID: 2860746385 Enrollment ID: I20181119001936 |
| Provider Name | Mhervin Justin Ortega Dagdagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295416998 PECOS PAC ID: 4183169428 Enrollment ID: I20240711001458 |
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