| Myron Kamenetsky, MD | |
|
10121 Pine Ave, Truckee, CA 96161-4835 | |
| (530) 582-3426 | |
| Not Available |
| Full Name | Myron Kamenetsky |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 10121 Pine Ave, Truckee, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326094483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G78034 (California) | Primary |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
| Entity Name | North Tahoe Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210735 PECOS PAC ID: 4082718622 Enrollment ID: O20070409000407 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538265780 PECOS PAC ID: 0446161335 Enrollment ID: O20080409000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Myron Kamenetsky, MD Po Box 34120, Reno, NV 89533-4120 Ph: (775) 747-5050 | Myron Kamenetsky, MD 10121 Pine Ave, Truckee, CA 96161-4835 Ph: (530) 582-3426 |
Daphne Palmer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-582-6450 Fax: 530-582-6430 | |
Dr. Nicholas Ramon Vargas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 |