| Dr Paul Michael Knight, MD | |
|
2170 South Ave, South Lake Tahoe, CA 96150-7026 | |
| (530) 543-5820 | |
| (530) 542-9550 |
| Full Name | Dr Paul Michael Knight |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 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 |
|---|---|---|---|
| 1932189024 | NPI | - | NPPES |
| 1932189024 | Medicaid | NV | |
| P00639622 | Other | NV | RR MEDICARE |
| P00216867 | Other | CA | RR MEDICARE |
| 1932189024 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A82794 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 10521 (Nevada) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carson Valley Medical Center | Gardnerville, NV | Hospital |
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Renown Regional Medical Center | Reno, NV | Hospital |
| Renown South Meadows Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sierra Nevada Medical Imaging | 2466430475 | 4 |
| Sierra Nevada Medical Imaging | 2466430475 | 4 |
| Entity Name | Sierra Nevada Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255310124 PECOS PAC ID: 2466430475 Enrollment ID: O20050316001079 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Michael Knight, MD Po Box 19879, Reno, NV 89511-2533 Ph: (888) 480-6640 | Dr Paul Michael Knight, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5820 |
Dr. Howard Steven Friedman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3535 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-541-3910 | |
Dr. Robert Silk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5820 Fax: 530-542-9550 |