| Stephen Lane Perry, MD | |
|
1600 Medical Pkwy, Carson City, NV 89703-4625 | |
| (775) 445-8795 | |
| (775) 445-5175 |
| Full Name | Stephen Lane Perry |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 37 Years |
| Location | 1600 Medical Pkwy, Carson City, 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 |
|---|---|---|---|
| 1316943913 | NPI | - | NPPES |
| 002003001 | Medicaid | NV | |
| XPY187973 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6526 (Nevada) | Secondary |
| 208M00000X | Hospitalist | 6526 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Humboldt General Hospital | Winnemucca, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Humboldt General Hospital | 5193709798 | 43 |
| Entity Name | Humboldt General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922152784 PECOS PAC ID: 5193709798 Enrollment ID: O20040614000195 |
| Entity Name | Humboldt General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750498010 PECOS PAC ID: 5193709798 Enrollment ID: O20061104000361 |
| Entity Name | Usacs Integrated Acute Care Services Of Nevada Bagnoli P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063608701 PECOS PAC ID: 1850471939 Enrollment ID: O20080102000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Lane Perry, MD Po Box 3299, Carson City, NV 89702-3299 Ph: (775) 222-0042 | Stephen Lane Perry, MD 1600 Medical Pkwy, Carson City, NV 89703-4625 Ph: (775) 445-8795 |
Elisabeth A Mates, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 | |
Dr. Dinadelle Barroso Viola, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1600 Medical Pkwy, Lake Tahoe Regional Hospitalists, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 | |
David M Miller, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 |