Mr Timothy Daniel Reagan, NP | |
1600 Medical Pkwy, Carson City, NV 89703-4625 | |
(775) 445-8795 | |
(775) 445-5175 |
Full Name | Mr Timothy Daniel Reagan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 31 Years |
Location | 1600 Medical Pkwy, Carson City, Nevada |
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 |
---|---|---|---|
1841292869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN495203 NP9973 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 813415 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Santibanez Pac Nevada | 1153773288 | 4 |
Stephen Holtzclaw Md Pc | 1850471939 | 40 |
Entity Name | Stephen Holtzclaw Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063608701 PECOS PAC ID: 1850471939 Enrollment ID: O20080102000072 |
Entity Name | Usacs Long Term Care Services Osmundson Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053090357 PECOS PAC ID: 6204282858 Enrollment ID: O20231102000971 |
Entity Name | Santibanez Pac Nevada |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174398770 PECOS PAC ID: 1153773288 Enrollment ID: O20240115000077 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Daniel Reagan, NP Po Box 3299, Carson City, NV 89702-3299 Ph: (775) 222-0042 | Mr Timothy Daniel Reagan, NP 1600 Medical Pkwy, Carson City, NV 89703-4625 Ph: (775) 445-8795 |
Brittney Ann Fencl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Carson St, Carson City, NV 89701 Phone: 775-445-7220 Fax: 775-841-1139 | |
David L. Ramsey, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 S Pratt Ave, Carson City, NV 89701 Phone: 775-882-3945 Fax: 775-882-6126 | |
Bonnie J O'daye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1385 Vista Ln, Carson City, NV 89703 Phone: 775-884-4567 | |
Ms. Jean Cozad Lyon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 College Pkwy, Suite 130, Carson City, NV 89706 Phone: 775-885-6940 | |
Emanuella Pomerlyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Mountain St, Carson City, NV 89703 Phone: 775-882-1324 | |
Mrs. Carla Rae Farnworth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Cambridge Ct, Carson City, NV 89701 Phone: 775-885-1520 | |
Tiffany L. Yohey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 Fairview Dr Ste A, Carson City, NV 89701 Phone: 775-684-5010 Fax: 775-687-1181 |