| Thunder Pain Management, P.c. | |
|
6548 S Mccarran Blvd Ste A Reno NV 89509-6150 | |
| (775) 336-1256 | |
| (775) 336-6410 |
| Full Name | Thunder Pain Management, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6548 S Mccarran Blvd Ste A, Reno, Nevada |
| Authorized Official Name and Position | Kenneth Todd Thunder (PRESIDENT) |
| Authorized Official Contact | 7753361256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thunder Pain Management, P.c. 6548 S Mccarran Blvd Ste A Reno NV 89509-6150 Ph: (775) 336-1256 | Thunder Pain Management, P.c. 6548 S Mccarran Blvd Ste A Reno NV 89509-6150 Ph: (775) 336-1256 |
| NPI Number | 1497144828 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2163733205 |
|---|---|
| Medicare Enrollment ID | O20150616002822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497144828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8854 (Nevada) | Primary |
| Provider Name | Kenneth T Thunder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518929967 PECOS PAC ID: 7214987411 Enrollment ID: I20050126000096 |
| Provider Name | Pearla P Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689812638 PECOS PAC ID: 8224193826 Enrollment ID: I20190326002389 |
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