| Olivia Wheatley, | |
|
2874 N Carson St Ste 120, Carson City, NV 89706-1681 | |
| (775) 445-5193 | |
| Not Available |
| Full Name | Olivia Wheatley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 2874 N Carson St Ste 120, Carson City, 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 |
|---|---|---|---|
| 1154082121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2921 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barton Medical Foundation | 5395127682 | 97 |
| Barton Medical Foundation | 5395127682 | 97 |
| Entity Name | Carson Tahoe Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255360160 PECOS PAC ID: 1759284862 Enrollment ID: O20040128000187 |
| Entity Name | Carson Tahoe Physician Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023265717 PECOS PAC ID: 1153479027 Enrollment ID: O20090502000046 |
| Entity Name | Barton Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20230302002928 |
| Entity Name | Cth Physicians Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306533732 PECOS PAC ID: 1254787203 Enrollment ID: O20231026002527 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Wheatley, 1114 Modoc Way, South Lake Tahoe, CA 96150-5248 Ph: Not Available | Olivia Wheatley, 2874 N Carson St Ste 120, Carson City, NV 89706-1681 Ph: (775) 445-5193 |
Jeromy Dyer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Drive, Suite 201, Carson City, NV 89705 Phone: 775-783-6190 Fax: 775-783-6191 |
Tatiana M. Warner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3325 Research Way, Carson City, NV 89706 Phone: 775-887-5140 Fax: 775-884-3618 |
Ryan Tognotti, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Dr. Suite 201, Carson City, NV 89705 Phone: 775-783-6109 Fax: 775-783-6178 |
Robin Therese Reaney-smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3325 Research Way, Carson City, NV 89706 Phone: 775-887-5140 Fax: 775-884-3618 |
Mr. James H Nicely, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 Mountain St, Suite 3 M, Carson City, NV 89703 Phone: 775-885-8890 Fax: 775-885-8865 |
Ashten Howard, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Drive, Suite 201, Carson City, NV 89705 Phone: 775-783-6190 Fax: 775-783-6191 |
Jenna Dramise, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1525 Vista Ln Ste 100, Carson City, NV 89703 Phone: 775-445-6622 |