Lance Mathew Dickey (NPI# 1578957056, PAC ID# 1951667856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1578957056 |
| PAC ID by PECOS | 1951667856 |
| Professional Enrollment ID | I20180904003447 |
| Full Name | Lance Mathew Dickey |
| Organization Legal Name | TEAM PHYSICIANS OF NEVADA-MANDAVIA PC |
| Address |
801 E Williams Ave Fallon NV 89406-2797 |
| Phone Number | 7754233151 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4082844147 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| 050125 | REGIONAL MEDICAL CENTER OF SAN JOSE |
| Address | Phone | Organization |
|---|---|---|
| 801 E Williams Ave, Fallon, NV 89406-2797 | 7754233151 | TEAM PHYSICIANS OF NEVADA-MANDAVIA PC |
| Organization Legal Name | TEAM PHYSICIANS OF NEVADA-MANDAVIA PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Mueller | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Ja-lynn Kuo | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| William C Everts | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Street Address |
801 E WILLIAMS AVE |
| City | FALLON |
| State | NV |
| Zip | 89406-2797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jake H Ichino | Interventional Cardiology | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Karen Rodeffer-evans | Obstetrics/gynecology | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Mark E Mueller | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Trevor T Phan | Internal Medicine | 801 E Williams Ave, Fallon, NV 89406-3052 | |
| Lillian M Morton | Nurse Practitioner | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Roland N Chen | Urology | Carson Urologists Ltd | 801 E Williams Ave, Suite 3310, Fallon, NV 89406-3052 |
| Poonam P Jani | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Thomas-duythuc Ngoc To | Cardiovascular Disease (cardiology) | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Timothy M Costa | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Christa A Robinson | Physician Assistant | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Heath | Family Medicine | 50 Commercial Way, Fallon, NV 89406-2600 | |
| Rodney D Stewart | Physical Therapy | 2180 Reno Hwy, Fallon, NV 89406-2629 | |
| Steven Edward Louie | Physical Therapy | 1680 W Williams Ave, Fallon, NV 89406-2644 | |
| Gary C Ridenour | Internal Medicine | 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 | |
| Derek Christopher Braddix | Nurse Practitioner | Gary C Ridenour Md A Prof Corp | 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 |
| David B Chaffin | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Gregory Koenig | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Carl D Robertson | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Steve H Chang | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Ja-lynn Kuo | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Find all physicians in zip 89406 | |||
| City | FALLON |
| Zip Code | 89406 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FALLON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Lance Mathew Dickey.
| 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.