| Shelby E Real, PAC | |
|
973 Mica Drive, Suite 201, Carson City, NV 89705-7258 | |
| (775) 783-6190 | |
| Not Available |
| Full Name | Shelby E Real |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 973 Mica Drive, 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 |
|---|---|---|---|
| 1720557374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2041 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carson Valley Health | Gardnerville, NV | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpine Dermatology Llc | 0244688422 | 4 |
| Entity Name | Alpine Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306623749 PECOS PAC ID: 0244688422 Enrollment ID: O20231129000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby E Real, PAC 973 Mica Dr Ste 201, Carson City, NV 89705-7258 Ph: (775) 783-6190 | Shelby E Real, PAC 973 Mica Drive, Suite 201, Carson City, NV 89705-7258 Ph: (775) 783-6190 |
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 |