| Shane Wakefield, | |
|
2375 E Prater Way, Sparks, NV 89434-9641 | |
| (775) 331-7000 | |
| (775) 352-5303 |
| Full Name | Shane Wakefield |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 2375 E Prater Way, Sparks, Nevada |
| 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 |
|---|---|---|---|
| 1487345823 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Nevada Medical Group Llc | 7214093020 | 83 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Wakefield, 2375 E Prater Way, Sparks, NV 89434-9641 Ph: (775) 331-7000 | Shane Wakefield, 2375 E Prater Way, Sparks, NV 89434-9641 Ph: (775) 331-7000 |
Elisa Zamira Duran Felipe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2244 Oddie Blvd, Sparks, NV 89431 Phone: 775-329-6300 |
Maggie Casteel Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Pullman Dr, Sparks, NV 89434 Phone: 775-432-1343 |
Douglas G Starley, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3160 Vista Blvd, Sparks, NV 89436 Phone: 775-352-7200 Fax: 775-352-7222 |
Ariel Ikesakes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2244 Oddie Blvd, Sparks, NV 89431 Phone: 775-997-7300 |
Lindsey Ann Chaney, MPH Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2191 Kingston Canyon Dr, Sparks, NV 89441 Phone: 775-771-2839 |
Allie Finney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 202 Los Altos Pkwy, Sparks, NV 89436 Phone: 775-982-5000 Fax: 775-982-3900 |
Bradley Ryan Duncan, APRN/RNFA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1698 Cantinia Dr, Sparks, NV 89436 Phone: 214-227-2457 Fax: 214-764-0880 |