| Santibanez Pac Nevada | |
|
3050 N Ormsby Blvd Carson City NV 89703-8378 | |
| (775) 883-3622 | |
| Not Available |
| Full Name | Santibanez Pac Nevada |
|---|---|
| Speciality | Internal Medicine |
| Location | 3050 N Ormsby Blvd, Carson City, Nevada |
| Authorized Official Name and Position | Julie Roser (VP OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 7752220045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santibanez Pac Nevada 10775 Double R Blvd Reno NV 89521-8956 Ph: () - | Santibanez Pac Nevada 3050 N Ormsby Blvd Carson City NV 89703-8378 Ph: (775) 883-3622 |
| NPI Number | 1174398770 |
|---|---|
| Provider Enumeration Date | 11/24/2023 |
| Last Update Date | 11/24/2023 |
| Medicare PECOS PAC ID | 1153773288 |
|---|---|
| Medicare Enrollment ID | O20240115000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174398770 | NPI | - | NPPES |
| Provider Name | Stephen T Hewitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023015849 PECOS PAC ID: 4789674425 Enrollment ID: I20040719000610 |
| Provider Name | Aleli F Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750576245 PECOS PAC ID: 6608966130 Enrollment ID: I20071220000127 |
| Provider Name | Jorge Santibanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568446672 PECOS PAC ID: 9739179847 Enrollment ID: I20110126000393 |
| Provider Name | Zack Ballingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730473836 PECOS PAC ID: 0042480055 Enrollment ID: I20110831000160 |
| Provider Name | Angela Louise Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134480247 PECOS PAC ID: 2365698800 Enrollment ID: I20120815000710 |
| Provider Name | Timothy Daniel Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841292869 PECOS PAC ID: 5597838151 Enrollment ID: I20190325002865 |
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