Scott Wayne Perrenod (NPI# 1063523470, PAC ID# 7618288101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1063523470 |
PAC ID by PECOS | 7618288101 |
Professional Enrollment ID | I20150803002140 |
Full Name | Scott Wayne Perrenod |
Organization Legal Name | COVENANT ADVANCED PRIMARY CARE SOLUTIONS |
Address |
11386 Pleasant Valley Rd Penn Valley CA 95946-9000 |
Phone Number | 8889662398 |
Gender | M |
Graduation Year | 2001 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6800107392 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500039 | HARRISON MEDICAL CENTER |
050150 | SIERRA NEVADA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
21 Ne Romance Hill Rd, Belfair, WA 98528-8315 | 2062411818 | FRANCISCAN MEDICAL GROUP |
11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 | 8889662398 | COVENANT ADVANCED PRIMARY CARE SOLUTIONS |
1812 S J St, Suite 120, Tacoma, WA 98405-4965 | 2534282200 | FRANCISCAN MEDICAL GROUP |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | COVENANT ADVANCED PRIMARY CARE SOLUTIONS |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Broder | Cardiovascular Disease (cardiology) | Covenant Advanced Primary Care Solutions | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 |
Ian M Gow | Physician Assistant | Covenant Advanced Primary Care Solutions | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 |
Holly M Leeds | General Practice | Covenant Advanced Primary Care Solutions | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 |
Robert O Barnes | Family Practice | Covenant Advanced Primary Care Solutions | 9267 Greenback Ln, Suite C2, Orangevale, CA 95662-4865 |
Street Address |
11386 PLEASANT VALLEY RD |
City | PENN VALLEY |
State | CA |
Zip | 95946-9000 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Broder | Cardiovascular Disease (cardiology) | Covenant Advanced Primary Care Solutions | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 |
Ian M Gow | Physician Assistant | Covenant Advanced Primary Care Solutions | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 |
Holly M Leeds | General Practice | Covenant Advanced Primary Care Solutions | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 |
Elisabeth B Lernhardt | Internal Medicine | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pamela A Leduc | Physical Therapy | Wildwood Physical Therapy Inc | 11392 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Mara Berezniak | Family Medicine | Sierra Nevada Primary Care Physicians A Medical Corporation | 11400 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Monica L Pascoe | Physical Therapy | Wildwood Physical Therapy Inc | 11392 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Tamsyn N Miller | Physical Therapy | Wildwood Physical Therapy Inc | 11392 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Clifford J Leduc | Physical Therapy | Wildwood Physical Therapy Inc | 11392 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Andrew George Burt | Family Medicine | Sierra Nevada Primary Care Physicians A Medical Corporation | 11400 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Lisa M Bates | Physical Therapy | Wildwood Physical Therapy Inc | 11392 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Erin J Wippermann | Physical Therapy | Wildwood Physical Therapy Inc | 11392 Pleasant Valley Rd, Penn Valley, CA 95946-9001 |
Mary Aarsheim | Clinical Social Worker | 11440 Pleasant Valley Rd, Penn Valley, CA 95946-9175 | |
Patricia M Hastert | Chiropractic | 17331 Penn Valley Dr, Penn Valley, CA 95946-9340 | |
Find all physicians in zip 95946 |
City | PENN VALLEY |
Zip Code | 95946 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PENN VALLEY + NURSE PRACTITIONER |
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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.