| Taryn Noel Okuma, PAC | |
|
1661 Lucerne St, Minden, NV 89423-4306 | |
| (775) 782-0700 | |
| (775) 782-0500 |
| Full Name | Taryn Noel Okuma |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1661 Lucerne St, Minden, 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 |
|---|---|---|---|
| 1043971161 | NPI | - | NPPES |
| PA2910 | Other | NV | PAC NEVADA |
| 16085470 | Other | NV | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2910 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Renown South Meadows Medical Center | Reno, NV | Hospital |
| Renown Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Services Llc | 1951324318 | 630 |
| Entity Name | Community Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Taryn Noel Okuma, PAC 1661 Lucerne St, Minden, NV 89423-4306 Ph: (775) 782-0700 | Taryn Noel Okuma, PAC 1661 Lucerne St, Minden, NV 89423-4306 Ph: (775) 782-0700 |
Jeffrey B Grant, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1649 Lucerne St, Ste A & B, Minden, NV 89423 Phone: 775-782-1603 Fax: 775-782-1629 |
Ashley Nicole Hull, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 897 Ironwood Dr, Minden, NV 89423 Phone: 775-782-1610 |
Heather Wetmore, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1649 Lucerne St, Minden, NV 89423 Phone: 775-782-1603 Fax: 775-782-3417 |
Mandy Carol Coulsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1649 Lucerne St, Minden, NV 89423 Phone: 775-782-1603 |
Timothy Michael Oneill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1649 Lucerne St, Suite A & B, Minden, NV 89423 Phone: 775-782-1603 Fax: 775-782-3417 |