| Dr Diane Marie Sheridan, MD | |
|
1624 10th St, Suite 1, Minden, NV 89423-4413 | |
| (775) 782-0700 | |
| (775) 782-0500 |
| Full Name | Dr Diane Marie Sheridan |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 1624 10th St, Minden, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588619555 | NPI | - | NPPES |
| BX462A | Other | MEDICARE PTAN | |
| 1841429263 | Other | GROUP NPI | |
| 41490 | Other | NV | BCBS NUMBER |
| 2003010 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 7773 (Nevada) | Primary |
| Entity Name | Tck Islay Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336773373 PECOS PAC ID: 9133530199 Enrollment ID: O20201123001813 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diane Marie Sheridan, MD 1624 10th St, Suite 1, Minden, NV 89423-4413 Ph: (775) 782-0700 | Dr Diane Marie Sheridan, MD 1624 10th St, Suite 1, Minden, NV 89423-4413 Ph: (775) 782-0700 |
Dan E Rowe, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1661 Lucerne St, Minden, NV 89423 Phone: 775-782-0700 Fax: 775-782-0500 | |
Dr. Todd Allen Helfman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1661 Lucerne St, Minden, NV 89423 Phone: 775-782-0700 Fax: 775-782-0500 | |
Mark Juhl, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1661 Lucerne St, Minden, NV 89423 Phone: 775-782-0700 Fax: 775-782-0500 |