Carol A Meyer (NPI# 1134221138, PAC ID# 0648300459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134221138 |
| PAC ID by PECOS | 0648300459 |
| Professional Enrollment ID | I20100604000493 |
| Full Name | Carol A Meyer |
| Organization Legal Name | EASTERN SIERRA MEDICAL GROUP LLC |
| Address |
825 S Main St Tonopah NV 89049 |
| Phone Number | 7759824700 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759294119 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1343 Newlands Dr W, Fernley, NV 89408-8926 | 7759825000 | COMMUNITY CARE SERVICES LLC |
| 825 S Main St, Tonopah, NV 89049 | 7759824700 | EASTERN SIERRA MEDICAL GROUP LLC |
| Organization Legal Name | EASTERN SIERRA MEDICAL GROUP LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin D Prohaska | Physician Assistant | Eastern Sierra Medical Group LLC | 3595 Us Hwy 50, Silver Springs, NV 89429-9613 |
| Lisa M Logan | Physician Assistant | Eastern Sierra Medical Group LLC | 825 S Main St, Tonopah, NV 89049 |
| Andrea Thompson | Nurse Practitioner | Eastern Sierra Medical Group LLC | 3595 Us Hwy 50, Silver Springs, NV 89429-9613 |
| Danell Gilman | Nurse Practitioner | Eastern Sierra Medical Group LLC | 3595 Us Hwy 50, Silver Springs, NV 89429-9613 |
| Katrina A Fogel | Physician Assistant | Eastern Sierra Medical Group LLC | 3595 Us Hwy 50, Silver Springs, NV 89429-9613 |
| Street Address |
825 S MAIN ST |
| City | TONOPAH |
| State | NV |
| Zip | 89049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Logan | Physician Assistant | Eastern Sierra Medical Group LLC | 825 S Main St, Tonopah, NV 89049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eljena Marie Peterson | Nurse Practitioner | 119 St Patrick, Tonopah, NV 89049 | |
| Susan C Haut | Clinical Social Worker | State of Nevada | 825 S Main, Tonopah Mental Health Center, Tonopah, NV 89049 |
| Gerald W Peterson Jr. | General Practice | Gerald W Peterson Jr Ltd | 119 St Patrick Ln, Tonopah, NV 89049 |
| City | TONOPAH |
| Zip Code | 89049 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TONOPAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol A Meyer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.