| John S Edgcomb, MD | |
|
1600 Medical Pkwy, Carson City, NV 89703-4625 | |
| (775) 445-8005 | |
| Not Available |
| Full Name | John S Edgcomb |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1600 Medical Pkwy, Carson City, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881771251 | NPI | - | NPPES |
| NV4606 | Other | NV | BCBS |
| P00406710 | Other | NV | RAILROAD |
| 201317502 | Medicaid | NV | |
| B008 | Other | NV | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4206 (Nevada) | Secondary |
| 207P00000X | Emergency Medicine | 4206 (Nevada) | Primary |
| Entity Name | Carson Tahoe Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396822821 PECOS PAC ID: 7416930573 Enrollment ID: O20040609001476 |
| Mailing Address | Practice Location Address |
|---|---|
| John S Edgcomb, MD 1600 Medical Pkwy, Carson City, NV 89703-4625 Ph: () - | John S Edgcomb, MD 1600 Medical Pkwy, Carson City, NV 89703-4625 Ph: (775) 445-8005 |
Dr. Sara M Ream, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8000 | |
Dr. Pacharin Noraseat, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 S Carson Street, Suite 1104, Carson City, NV 89701 Phone: 775-445-7330 Fax: 775-841-1139 | |
Maurice A. Mayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8005 | |
Andrew Doering, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8000 | |
David J. Strull, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8005 | |
Kerry W. Novak, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8005 | |
Dr. Brett Eisenmesser, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Pkwy, Ctrmc, Carson City, NV 89703 Phone: 775-445-8733 |