Dr Scott Wayne Perrenod, DNP-C is a medicare enrolled "Nurse Practitioner - Family" in Incline Village, Nevada. His current practice location is
885 Tahoe Blvd Ste 51, Incline Village, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 264-6876.
Dr Scott Wayne Perrenod is licensed to practice in California (license number NP12667) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063523470.
Provider's Profile
| Full Name | Dr Scott Wayne Perrenod |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 885 Tahoe Blvd Ste 51, Incline Village, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063523470
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 09/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 7618288101
- Enrollment ID: I20150803002140
Medical Identifiers
Medical identifiers for Dr Scott Wayne Perrenod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063523470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | NP12667 (California) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | NP12667 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP12667 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Scott Wayne Perrenod is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Scott Wayne Perrenod, DNP-C 330 Cape Horn Rd E, Colfax, CA 95713-9434 Ph: (889) 662-3988 | Dr Scott Wayne Perrenod, DNP-C 885 Tahoe Blvd Ste 51, Incline Village, NV 89451-9408 Ph: (775) 264-6876 |
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