| Collins Carson City Gastroenterology Ltd | |
|
1385 Vista Ln Carson City NV 89703-4643 | |
| (775) 329-4600 | |
| Not Available |
| Full Name | Collins Carson City Gastroenterology Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1385 Vista Ln, Carson City, Nevada |
| Authorized Official Name and Position | Jason Collins (PRESIDENT) |
| Authorized Official Contact | 7758844567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Carson City Gastroenterology Ltd 1385 Vista Ln Carson City NV 89703-4643 Ph: () - | Collins Carson City Gastroenterology Ltd 1385 Vista Ln Carson City NV 89703-4643 Ph: (775) 329-4600 |
| NPI Number | 1780395764 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 02/15/2023 |
| Medicare PECOS PAC ID | 8022474329 |
|---|---|
| Medicare Enrollment ID | O20230511000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780395764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Phillip C Usera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275761884 PECOS PAC ID: 0446574867 Enrollment ID: I20150113001255 |
| Provider Name | Ting-hui Hsieh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326234667 PECOS PAC ID: 9638201122 Enrollment ID: I20151023000438 |
| Provider Name | Jason M Collins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427265826 PECOS PAC ID: 5193826485 Enrollment ID: I20180409000557 |
| Provider Name | Kimbrelle A Pascua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112615 PECOS PAC ID: 6800122789 Enrollment ID: I20190730004083 |
| Provider Name | Leslie H Massey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699186585 PECOS PAC ID: 3072830181 Enrollment ID: I20201102002154 |
| Provider Name | Daniel Mockler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831331594 PECOS PAC ID: 0547489247 Enrollment ID: I20210225003296 |
| Provider Name | Bonnie J O'daye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053095794 PECOS PAC ID: 6305207770 Enrollment ID: I20230801003747 |
| Provider Name | Jason Jerome Kattenhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386358224 PECOS PAC ID: 3870955149 Enrollment ID: I20230817003966 |
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