| Spencer Davis, | |
|
762 14th St, Elko, NV 89801-3413 | |
| (775) 738-1553 | |
| Not Available |
| Full Name | Spencer Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 762 14th St, Elko, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316677578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA0579 (Nevada) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Nevada Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679649487 PECOS PAC ID: 7113835307 Enrollment ID: O20040219000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Davis, 762 14h St, Elko, NV 89801 Ph: (775) 738-1553 | Spencer Davis, 762 14th St, Elko, NV 89801-3413 Ph: (775) 738-1553 |
David Billings Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Errecart Blvd, Elko, NV 89801 Phone: 775-738-5151 |
Michael Blythe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2102 Idaho St, Elko, NV 89801 Phone: 775-389-5777 Fax: 775-360-3602 |
Mr. John C Ziebarth, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1993 Errecart Blvd, Elko, NV 89801 Phone: 775-753-1049 |
Steffainy Jessie Hefley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1993 Errecart Blvd, Elko, NV 89801 Phone: 775-753-1049 Fax: 775-777-8494 |
Robinita Ambriz Velasquez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1993 Errecart Blvd, Elko, NV 89801 Phone: 775-753-1049 |
Spencer David Snow, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1995 Errecart Blvd Ste 102, Elko, NV 89801 Phone: 775-777-2061 Fax: 775-777-2067 |
Sarah Kay Lemback, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1993 Errecart Blvd, Elko, NV 89801 Phone: 775-753-1049 |