| Silver Sage Center For Family Pasternak Andrew Sole Mbr | |
|
10467 Double R Blvd Reno NV 89521-8905 | |
| (775) 853-9394 | |
| (775) 853-3339 |
| Full Name | Silver Sage Center For Family Pasternak Andrew Sole Mbr |
|---|---|
| Speciality | Family Medicine |
| Location | 10467 Double R Blvd, Reno, Nevada |
| Authorized Official Name and Position | Andrew V Pasternak (OWNER) |
| Authorized Official Contact | 7758539394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Sage Center For Family Pasternak Andrew Sole Mbr 10467 Double R Blvd Reno NV 89521-8905 Ph: (775) 853-9394 | Silver Sage Center For Family Pasternak Andrew Sole Mbr 10467 Double R Blvd Reno NV 89521-8905 Ph: (775) 853-9394 |
| NPI Number | 1437179991 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 1557379385 |
|---|---|
| Medicare Enrollment ID | O20060405000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437179991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8674 (Nevada) | Primary |
| Provider Name | Andrew V Pasternak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689605214 PECOS PAC ID: 6305896929 Enrollment ID: I20050131000847 |
| Provider Name | Teresa L Angermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134158967 PECOS PAC ID: 7416999487 Enrollment ID: I20050531001018 |
| Provider Name | Jason P Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871659334 PECOS PAC ID: 7113021833 Enrollment ID: I20070815000507 |
| Provider Name | Shelby Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285366641 PECOS PAC ID: 5092198713 Enrollment ID: I20220812002521 |
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