| Eastern Sierra Medical Group Llc | |
|
3595 Us Highway 50 Silver Springs NV 89429-9613 | |
| (775) 982-5000 | |
| (775) 982-3900 |
| Full Name | Eastern Sierra Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3595 Us Highway 50, Silver Springs, Nevada |
| Authorized Official Name and Position | Brett Moore (CFO ACUTE CARE) |
| Authorized Official Contact | 7759826343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Sierra Medical Group Llc 1155 Mill St # M14 Reno NV 89502-1576 Ph: (775) 982-5262 | Eastern Sierra Medical Group Llc 3595 Us Highway 50 Silver Springs NV 89429-9613 Ph: (775) 982-5000 |
| NPI Number | 1316925381 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 07/30/2025 |
| Medicare PECOS PAC ID | 1759294119 |
|---|---|
| Medicare Enrollment ID | O20031111000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316925381 | NPI | - | NPPES |
| CJ7646 | Other | NV | RR MEDICARE PTAN |
| 1316925381 | Medicaid | NV |
| Provider Name | Richard W Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962504142 PECOS PAC ID: 7911998596 Enrollment ID: I20040521000634 |
| Provider Name | Robert T Thole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053384107 PECOS PAC ID: 4385601822 Enrollment ID: I20041215001007 |
| Provider Name | Marie M Mccormack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033178637 PECOS PAC ID: 5496765471 Enrollment ID: I20060504000798 |
| Provider Name | Bret Bellard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538225776 PECOS PAC ID: 0345242905 Enrollment ID: I20070209000648 |
| Provider Name | Brion R Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083748743 PECOS PAC ID: 1557419496 Enrollment ID: I20090501000363 |
| Provider Name | Alicia Marie Garaventa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487858247 PECOS PAC ID: 3678621265 Enrollment ID: I20090508000557 |
| Provider Name | Aaron A Bertalmio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336339951 PECOS PAC ID: 4789734906 Enrollment ID: I20090610000218 |
| Provider Name | Felicia Antoinette Lowenstein-moffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477787521 PECOS PAC ID: 0941488977 Enrollment ID: I20130501000177 |
| Provider Name | Jean M Adamski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134226426 PECOS PAC ID: 5890923122 Enrollment ID: I20140114000735 |
| Provider Name | Derek Arthur Beenfeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780973891 PECOS PAC ID: 2567695240 Enrollment ID: I20140904002771 |
| Provider Name | Marisa Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164826996 PECOS PAC ID: 1355665530 Enrollment ID: I20150116000529 |
| Provider Name | Cheruba Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568734630 PECOS PAC ID: 8224354634 Enrollment ID: I20150303000003 |
| Provider Name | Erin Rachel Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487035614 PECOS PAC ID: 7810204195 Enrollment ID: I20150918001254 |
| Provider Name | Danell Harter Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609019777 PECOS PAC ID: 9537477880 Enrollment ID: I20151006001683 |
| Provider Name | Ly Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528403524 PECOS PAC ID: 9234364159 Enrollment ID: I20160930001248 |
| Provider Name | Kristen Marie Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093158610 PECOS PAC ID: 0547566473 Enrollment ID: I20161019001591 |
| Provider Name | Karl Desmond Friedrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558403006 PECOS PAC ID: 8820020977 Enrollment ID: I20161024001273 |
| Provider Name | Aleise Joelle Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336694421 PECOS PAC ID: 7517249295 Enrollment ID: I20170113001015 |
| Provider Name | Tera Lynn Zuccarini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184147993 PECOS PAC ID: 3072888270 Enrollment ID: I20171012003457 |
| Provider Name | Tyhesia Evette White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902815640 PECOS PAC ID: 9638432446 Enrollment ID: I20180409001942 |
| Provider Name | Brandon J Hockenberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417361965 PECOS PAC ID: 2567688476 Enrollment ID: I20180921001490 |
| Provider Name | Nathaniel Israel Garduque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275027930 PECOS PAC ID: 0749534105 Enrollment ID: I20181121001550 |
| Provider Name | Erin Lee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270318 PECOS PAC ID: 7416298310 Enrollment ID: I20190402001867 |
| Provider Name | Lindsey Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225688187 PECOS PAC ID: 2668806274 Enrollment ID: I20200107000603 |
| Provider Name | Rachel Lynn Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205358785 PECOS PAC ID: 5092138164 Enrollment ID: I20200708000471 |
| Provider Name | Robert W Bogart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760837595 PECOS PAC ID: 1557789179 Enrollment ID: I20200915000505 |