| Mrs Lisa Marie Tate, APN | |
|
1180 Selmi Dr Ste 201, Reno, NV 89512-4776 | |
| (775) 433-2222 | |
| (800) 455-1391 |
| Full Name | Mrs Lisa Marie Tate |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 1180 Selmi Dr Ste 201, 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 |
|---|---|---|---|
| 1265561021 | NPI | - | NPPES |
| 1265561021 | Medicaid | NV | |
| 12188992 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN000913 (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Marys Urgent Care Llc | 2163658550 | 11 |
| Entity Name | Saint Marys Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275898975 PECOS PAC ID: 2163658550 Enrollment ID: O20131113000128 |
| Entity Name | Ricardo Gonzalez MD Family Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265958862 PECOS PAC ID: 7416214903 Enrollment ID: O20171208002287 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Marie Tate, APN 1180 Selmi Dr Ste 201, Reno, NV 89512-4776 Ph: (775) 433-2222 | Mrs Lisa Marie Tate, APN 1180 Selmi Dr Ste 201, Reno, NV 89512-4776 Ph: (775) 433-2222 |
Mellyn Aileen Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St, Ste 100, Reno, NV 89502 Phone: 775-982-5003 Fax: 775-982-5103 |
Charlene A Knedgen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 E 2nd St Ste 300, Reno, NV 89502 Phone: 775-982-5640 Fax: 775-982-3901 |
Melissa Lynn Delamora, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9480 Double Diamond Pkwy Ste 200, Reno, NV 89521 Phone: 775-348-8800 Fax: 833-687-1419 |
Julie Lynne Rhys Hilario, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 699 Sierra Rose Dr. Units A & B, Reno, NV 89511 Phone: 775-204-4000 Fax: 775-234-4605 |
Mr. Kenneth Joseph Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St Ste 302, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 |
Alexis Jane Erlach, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 N Arlington Ave, Reno, NV 89503 Phone: 775-786-3040 Fax: 775-788-5216 |
Shiva Adham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5437 Kietzke Ln, Reno, NV 89511 Phone: 775-322-4550 Fax: 775-322-4956 |