Kelly Vial, FNP | |
1090 3rd St, South Lake Tahoe, CA 96150-3485 | |
(530) 543-5660 | |
(530) 542-1619 |
Full Name | Kelly Vial |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 1090 3rd St, South Lake Tahoe, California |
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 |
---|---|---|---|
1447486295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 18964 (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 Healthcare System | 1850293960 | 19 |
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 |
---|---|
Kelly Vial, FNP 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Kelly Vial, FNP 1090 3rd St, South Lake Tahoe, CA 96150-3485 Ph: (530) 543-5660 |
Amy Pittlick Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-539-6620 Fax: 530-539-6617 | |
Christine Jo Cifelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 | |
Molly Dowd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Ms. Patience Wenck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150 Phone: 530-542-4961 Fax: 530-542-4964 | |
Candice Lauren Raynor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5497 Fax: 530-541-8683 | |
Anna Marie Petersen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 | |
John Tyler Eichenberger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150 Phone: 925-822-4292 |