Usacs Long Term Care Services Osmundson Pllc | |
2898 Us Highway 50 E Carson City NV 89701-2811 | |
(330) 493-4443 | |
Not Available |
Full Name | Usacs Long Term Care Services Osmundson Pllc |
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Speciality | Hospitalist |
Location | 2898 Us Highway 50 E, Carson City, Nevada |
Authorized Official Name and Position | Melissa Reese (ENROLLMENT & CREDENTIALING OFFICER) |
Authorized Official Contact | 8556870618 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Usacs Long Term Care Services Osmundson Pllc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 994-4409 | Usacs Long Term Care Services Osmundson Pllc 2898 Us Highway 50 E Carson City NV 89701-2811 Ph: (330) 493-4443 |
NPI Number | 1053090357 |
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Provider Enumeration Date | 07/13/2023 |
Last Update Date | 07/21/2023 |
Medicare PECOS PAC ID | 6204282858 |
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Medicare Enrollment ID | O20231102000971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053090357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
Provider Name | Stephen T Hewitt |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023015849 PECOS PAC ID: 4789674425 Enrollment ID: I20040719000610 |
Provider Name | Vijay S Maiya |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1902830243 PECOS PAC ID: 0042216442 Enrollment ID: I20061006000558 |
Provider Name | Aleli F Rojas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750576245 PECOS PAC ID: 6608966130 Enrollment ID: I20071220000127 |
Provider Name | Jorge Santibanez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568446672 PECOS PAC ID: 9739179847 Enrollment ID: I20110126000393 |
Provider Name | Reka Danko |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1093987281 PECOS PAC ID: 0749450948 Enrollment ID: I20110825000523 |
Provider Name | Zack Ballingham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730473836 PECOS PAC ID: 0042480055 Enrollment ID: I20110831000160 |
Provider Name | Angela Louise Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134480247 PECOS PAC ID: 2365698800 Enrollment ID: I20120815000710 |
Provider Name | Timothy Daniel Reagan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841292869 PECOS PAC ID: 5597838151 Enrollment ID: I20190325002865 |
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