Shoshone-Paiute Tribes
A Medicare group practice based in Owyhee, NV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5092871889), with 36 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5092871889
- Provider type
- Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 2
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100812000813 | TX | Part B Supplier - Clinic/Group Practice | 1528230224 |
| O20130321000131 | TX | Part B Supplier - Ambulance Service Supplier | 1104181791 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Owyhee, NV2
Clinicians 36
Clinicians who reassign their Medicare benefits to this group (36) or whom Care Compare lists as members (9).
-
Nicole Ann Christenson, M.D.
- Child & Adolescent Psychiatry Physician
- Sioux Falls, SD
- NPI 1730265752
-
Julie Kathleen Cope, NP
- Psychiatric/Mental Health Nurse Practitioner
- Winnemucca, NV
- NPI 1538616974
-
Richard John Darsky Jr., DDS
- General Practice Dentistry
- Emery, SD
- NPI 1437355872
-
Lucas Paul Donaldson
- Family Nurse Practitioner
- Boise, ID
- NPI 1487230983
-
Lori Lynn Farrens, LCPC
- Professional Counselor
- Nampa, ID
- NPI 1598954786
-
Kevin Fluckiger, DPM
- Foot & Ankle Surgery Podiatrist
- Jbsa Lackland, TX
- NPI 1083117584
-
John Gambino, MD
- Diagnostic Radiology Physician
- Ontario, OR
- NPI 1093773533
-
Kyle Matthew Greer, M.D.
- Psychiatry Physician
- Phoenix, AZ
- NPI 1639468465
-
Ian L. Greybull, FNP
- Nurse Practitioner
- Bismarck, ND
- NPI 1801105531
-
Brian F Hanley, M.D.
- Family Medicine Physician
- Sisseton, SD
- NPI 1467657841
-
Angela Harrison, DNP
- Family Nurse Practitioner
- Garden City, ID
- NPI 1013566595
-
John Phillip Irey, DDS
- General Practice Dentistry
- New Berlin, WI
- NPI 1578660213
-
Lue Dee Jackson Jr., DMD, MD
- Dentist
- Roxbury, MA
- NPI 1568623841
-
Craig Larry Lathen, FNP
- Nurse Practitioner
- Owyhee, NV
- NPI 1962265199
-
Hannah Logue
- Occupational Therapist
- Boise, ID
- NPI 1497363097
-
Rita Marie Lopez, APRN
- Family Nurse Practitioner
- Silver Springs, FL
- NPI 1447433107
-
Amber Loya, NP
- Family Nurse Practitioner
- Boise, ID
- NPI 1518488931
-
Olaf R Lukowski, DDS
- General Practice Dentistry
- Apo Ae, NY
- NPI 1801853841
-
Kevin Joseph Lundell, FNP-C
- Family Nurse Practitioner
- Tabor City, NC
- NPI 1992204556
-
Christopher James Malcom, D.O.
- Diagnostic Radiology Physician
- Caldwell, ID
- NPI 1447402425
-
Lorraine Kay Marshall, LMSW, LADC
- Addiction (Substance Use Disorder) Counselor
- Owyhee, NV
- NPI 1154668556
-
Richard Fleming Martin, DDS
- General Practice Dentistry
- Glendale, AZ
- NPI 1487870580
-
Pamela Laura Migliaccio, APRN, CNP
- Family Nurse Practitioner
- Choctaw, OK
- NPI 1689059610
-
Stacy Miller, PHD
- Clinical Psychologist
- Albuquerque, NM
- NPI 1740510528
-
Deborah J Moreau, FNP
- Nurse Practitioner
- Owyhee, NV
- NPI 1164754008
-
Julia Ghada Nasser, MD
- Family Medicine Physician
- Santa Ana, CA
- NPI 1306917851
-
Joey Scott Newborn, DMD
- General Practice Dentistry
- Calhoun, GA
- NPI 1265649941
-
Steven M Polatis, O.D.
- Corneal and Contact Management Optometrist
- Owyhee, NV
- NPI 1316294234
-
Fayyaz Qadir, MD
- Family Medicine Physician
- Smethport, PA
- NPI 1083881635
-
Navjot A. Redpath, M.ED., LPC
- Professional Counselor
- Jefferson, LA
- NPI 1306113279
-
Kelly Kathleen Rhodes, M.D.
- General Practice Physician
- Owyhee, NV
- NPI 1861538035
-
Adrian Rolle
- Family Nurse Practitioner
- Tupelo, MS
- NPI 1780225227
-
Asma Shareef, DDS
- Dentist
- Fort Stewart, GA
- NPI 1609098177
-
Travis J Townsend, M.D.
- Psychiatry Physician
- Arcata, CA
- NPI 1568787554
-
Carneisha Washington
- Clinical Social Worker
- Nashville, TN
- NPI 1255706719
-
Tina Williams, FNP-BC
- Family Nurse Practitioner
- Boise, ID
- NPI 1750965695
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.