Dr Lars Douglas Ensign, MD | |
2170 South Ave, South Lake Tahoe, CA 96150-7026 | |
(530) 541-3420 | |
Not Available |
Full Name | Dr Lars Douglas Ensign |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 27 Years |
Location | 2170 South Ave, South Lake Tahoe, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750389862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 9855 (Nevada) | Secondary |
207P00000X | Emergency Medicine | A75593 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barton Medical Foundation | 5395127682 | 64 |
Carson Tahoe Emergency Physicians | 7416930573 | 24 |
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 |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040713000645 |
Entity Name | Washoe Barton Medical Clinic A Nevada Nonprofit Corporation |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1396799102 PECOS PAC ID: 7214835149 Enrollment ID: O20061104000237 |
Entity Name | Carson Valley Medical Center Rural Health Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174708879 PECOS PAC ID: 2860579984 Enrollment ID: O20080414000239 |
Entity Name | Barton Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20230302002928 |
Mailing Address | Practice Location Address |
---|---|
Dr Lars Douglas Ensign, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5639 | Dr Lars Douglas Ensign, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 541-3420 |
Michael Corbin Schankerman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Michael R Mclaughlin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Dr. Amy Pape Anton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Dr. Taylor Brooke Myatt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Dr. Kandra T Yee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Dr. Michael E. R. Habicht, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Dr. Clinton James Masterson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 |