| Dr Stuart Paine Michelson, MD | |
|
155 Hwy 50, Stateline, NV 89449 | |
| (775) 589-8900 | |
| (775) 588-7110 |
| Full Name | Dr Stuart Paine Michelson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 155 Hwy 50, Stateline, 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 |
|---|---|---|---|
| 1003813882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 7741 (Nevada) | Primary |
| 207P00000X | Emergency Medicine | G83056 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barton Medical Foundation | 5395127682 | 87 |
| 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 | 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 Stuart Paine Michelson, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr Stuart Paine Michelson, MD 155 Hwy 50, Stateline, NV 89449 Ph: (775) 589-8900 |
Dr. Clinton David Purvance, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 Hwy 50, Ste 203, Stateline, NV 89449 Phone: 775-589-8949 Fax: 775-589-8979 | |
Warren Tilden Withers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Hwy 50, Stateline, NV 89449 Phone: 775-589-8900 Fax: 775-588-7110 | |
Dr. Steven Dale Leman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 Hwy 50, Ste 203, Stateline, NV 89449 Phone: 775-589-8949 Fax: 775-589-8979 |