| Dr Jean Peters Makris, MD | |
|
2170 South Ave, South Lake Tahoe, CA 96150-7026 | |
| (530) 541-3420 | |
| (530) 541-8723 |
| Full Name | Dr Jean Peters Makris |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 2170 South Ave, South Lake Tahoe, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952308710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A77127 (California) | Secondary |
| 208M00000X | Hospitalist | A77127 (California) | Primary |
| 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: O20040514000834 |
| Entity Name | Barton Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jean Peters Makris, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr Jean Peters Makris, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 541-3420 |
John Frederick Lewison, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Dr. Bradley Wayne Gray, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 |