| Cory T Hall, PAC | |
|
1139 3rd St, South Lake Tahoe, CA 96150-3465 | |
| (530) 541-3100 | |
| (530) 541-3016 |
| Full Name | Cory T Hall |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1139 3rd St, South Lake Tahoe, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093706558 | NPI | - | NPPES |
| CC1490 | Other | NV | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15806 (California) | Primary |
| 363A00000X | Physician Assistant | PA678 (Nevada) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Cory T Hall, PAC Po Box 529, Zephyr Cove, NV 89448-0529 Ph: (775) 588-8938 | Cory T Hall, PAC 1139 3rd St, South Lake Tahoe, CA 96150-3465 Ph: (530) 541-3100 |
Jacquelyn Noel Sartorius, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Catherine Gaehwiler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 South Ave, Ste B, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Jessica Marie Starr, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-541-3000 Fax: 530-541-3016 | |
Todd William Degiovanni, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Sara Robison, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2694 Henderson St, South Lake Tahoe, CA 96150 Phone: 775-338-9503 | |
Eve-marie Welch, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 South Ave, Ste B, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 |