| Shaun Michael Stickley, MD | |
|
75 Pringle Way Ste 900, Reno, NV 89502-1464 | |
| (775) 982-6270 | |
| (775) 982-6271 |
| Full Name | Shaun Michael Stickley |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 21 Years |
| Location | 75 Pringle Way Ste 900, Reno, Nevada |
| 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 |
|---|---|---|---|
| 1528289808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 28875 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Pikeville Medical Center | Pikeville, KY | Hospital |
| Baptist Memorial Hospital Tipton | Covington, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Memorial Medical Group, Inc. | 5193610228 | 573 |
| Baptist Memorial Medical Group, Inc. | 5193610228 | 573 |
| Community Care Services Llc | 1951324318 | 625 |
| Pikeville Medical Center Inc | 6709790157 | 439 |
| Entity Name | Baptist Memorial Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun Michael Stickley, MD 1155 Mill St # M14, Reno, NV 89502-1576 Ph: (775) 982-6270 | Shaun Michael Stickley, MD 75 Pringle Way Ste 900, Reno, NV 89502-1464 Ph: (775) 982-6270 |
Dr. Mitzi M Miller, MD Surgery Medicare: Medicare Enrolled Practice Location: 975 Kirman Ave # 112, Reno, NV 89502 Phone: 775-328-1242 Fax: 775-337-2204 | |
Alvaro H Devia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6554 S Mccarran Blvd, #b, Reno, NV 89509 Phone: 775-324-0288 Fax: 775-323-5504 | |
Michael Gainey, Surgery Medicare: Medicare Enrolled Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-786-7200 | |
Philip G Lisagor, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-328-1242 | |
Nicholas Manguso, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St Ste 300, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Dr. Thomas M Wertin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 75 Pringle Way Ste 900, Reno, NV 89502 Phone: 775-982-6270 Fax: 775-982-6271 | |
Dr. James B Harris, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 75 Pringle Way, Suite 1002, Reno, NV 89502 Phone: 775-323-7500 Fax: 775-789-9208 |