| Collins Carson City Gastroenterology Ltd | |
|
1385 Vista Ln Carson City NV 89703-4643 | |
| (775) 329-4600 | |
| Not Available |
| Full Name | Collins Carson City Gastroenterology Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1385 Vista Ln, Carson City, Nevada |
| Authorized Official Name and Position | Jason Collins (PRESIDENT) |
| Authorized Official Contact | 7758844567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Carson City Gastroenterology Ltd 1385 Vista Ln Carson City NV 89703-4643 Ph: (775) 884-4567 | Collins Carson City Gastroenterology Ltd 1385 Vista Ln Carson City NV 89703-4643 Ph: (775) 329-4600 |
| NPI Number | 1780395764 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 10/20/2025 |
| Certification Date | 10/20/2025 |
| Medicare PECOS PAC ID | 8022474329 |
|---|---|
| Medicare Enrollment ID | O20230511000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780395764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Phillip C Usera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275761884 PECOS PAC ID: 0446574867 Enrollment ID: I20150113001255 |
| Provider Name | Melissa M Veil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225426943 PECOS PAC ID: 1456676808 Enrollment ID: I20171005002698 |
| Provider Name | Jason M Collins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427265826 PECOS PAC ID: 5193826485 Enrollment ID: I20180409000557 |
| Provider Name | Travis L Vickers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295095511 PECOS PAC ID: 8921326877 Enrollment ID: I20181002003309 |
| Provider Name | Kimbrelle a Pascua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112615 PECOS PAC ID: 6800122789 Enrollment ID: I20190730004083 |
| Provider Name | Leslie H Massey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699186585 PECOS PAC ID: 3072830181 Enrollment ID: I20201102002154 |
| Provider Name | Daniel C Mockler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831331594 PECOS PAC ID: 0547489247 Enrollment ID: I20210225003296 |
| Provider Name | Peter Airel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538222047 PECOS PAC ID: 5092867937 Enrollment ID: I20230601001104 |
| Provider Name | Jason Jerome Kattenhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386358224 PECOS PAC ID: 3870955149 Enrollment ID: I20230817003966 |
| Provider Name | Theresa Nicole Rolniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952146672 PECOS PAC ID: 2860939162 Enrollment ID: I20240805001783 |
| Provider Name | Rolando Leal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841272556 PECOS PAC ID: 0547260994 Enrollment ID: I20250801002892 |
| Provider Name | Glen Loy Portwood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316965726 PECOS PAC ID: 0345274908 Enrollment ID: I20250818000840 |
| Provider Name | Ana Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881318251 PECOS PAC ID: 7810366424 Enrollment ID: I20251113002031 |
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