| Irene Helen Mannering, MD | |
|
4814 Sparks Blvd, Sparks, NV 89436 | |
| (753) 240-6997 | |
| (775) 323-6814 |
| Full Name | Irene Helen Mannering |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 15 Years |
| Location | 4814 Sparks Blvd, Sparks, Nevada |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023300977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 124024 (California) | Secondary |
| 207N00000X | Dermatology | 17469 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Renown Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 100 |
| Entity Name | Mountain West Derm - Blackhart Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740633015 PECOS PAC ID: 1153609813 Enrollment ID: O20161031002278 |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Helen Mannering, MD 640 W Moana Ln, Reno, NV 89509-4903 Ph: (753) 240-6997 | Irene Helen Mannering, MD 4814 Sparks Blvd, Sparks, NV 89436 Ph: (753) 240-6997 |
Dr. James A Torok, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2345 E Prater Way, #205, Sparks, NV 89434 Phone: 775-331-2882 Fax: 775-331-2976 | |
Dr. Michael Riley Heaphy Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4814 Sparks Blvd, Sparks, NV 89436 Phone: 775-324-0699 Fax: 775-323-6814 | |
Jonathan Patrick Staidle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4814 Sparks Blvd, Sparks, NV 89436 Phone: 775-327-0699 Fax: 775-451-7501 |