| William R Shepard, DO | |
|
1139 3rd St, South Lake Tahoe, CA 96150 | |
| (530) 543-5691 | |
| (530) 542-2872 |
| Full Name | William R Shepard |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 1139 3rd St, South Lake Tahoe, California |
| 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 |
|---|---|---|---|
| 1427310895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | DO2454 (Nevada) | Secondary |
| 208600000X | Surgery | 20A16448 (California) | Primary |
| 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 | Tahoe Carson Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
| Entity Name | Barton Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
| Entity Name | Barton Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
| Mailing Address | Practice Location Address |
|---|---|
| William R Shepard, DO 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | William R Shepard, DO 1139 3rd St, South Lake Tahoe, CA 96150 Ph: (530) 543-5691 |
Dr. Gregory Gene Eyre, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2158 Jean Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5691 Fax: 531-542-2872 | |
Kimberly Anne Evans, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5691 Fax: 530-542-2872 | |
Stephen Osterberg, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5691 |