| Gretchen Goicoechea, PA | |
|
75 Pringle Way, Suite 401, Reno, NV 89502-1464 | |
| (775) 688-8000 | |
| (775) 688-8031 |
| Full Name | Gretchen Goicoechea |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 75 Pringle Way, Reno, 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 |
|---|---|---|---|
| 1003808536 | NPI | - | NPPES |
| 100503015 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA632 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| Renown Regional Medical Center | Reno, NV | Hospital |
| Banner Lassen Medical Center | Susanville, CA | Hospital |
| Saint Mary's Regional Medical Center | Reno, NV | Hospital |
| Banner Churchill Community Hospital | Fallon, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Challapalli Cardiology Pc | 1456723162 | 8 |
| Entity Name | Northern Nevada Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972751618 PECOS PAC ID: 7214093020 Enrollment ID: O20090303000483 |
| Entity Name | Challapalli Cardiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487376166 PECOS PAC ID: 1456723162 Enrollment ID: O20230315002220 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen Goicoechea, PA 75 Pringle Way, Suite 401, Reno, NV 89502-1464 Ph: (775) 688-8000 | Gretchen Goicoechea, PA 75 Pringle Way, Suite 401, Reno, NV 89502-1464 Ph: (775) 688-8000 |
Shaylee Nystrom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5578 Longley Ln, Reno, NV 89511 Phone: 775-284-8650 |
Logan Bode Howard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10635 Professional Cir Ste A, Reno, NV 89521 Phone: 775-852-0505 Fax: 775-852-0508 |
Julio A Meza, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7111 S Virginia St Ste D2, Reno, NV 89511 Phone: 775-870-1230 Fax: 833-606-1557 |
Kallista S Brown, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1055 S Wells Ave, Reno, NV 89502 Phone: 775-329-6300 Fax: 775-336-0623 |
Karie King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 N Arlington Ave, Reno, NV 89503 Phone: 775-786-3040 Fax: 775-348-3051 |
Cloe Jade Jeans, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5578 Longley Ln, Reno, NV 89511 Phone: 775-284-8650 |
Ms. Derrin E Jarvis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Pringle Way Ste 706, Reno, NV 89502 Phone: 775-982-5770 Fax: 775-982-5775 |