Meet The Team

Our goal is to provide high quality health care for your entire family. We treat the whole spectrum of medical conditions ranging from simple ear and sinus infections to more complex problems like heart disease and cancer.

Andrew Pasternak MD, MS

I started Silver Sage Center for Family Medicine because I wanted to build a different kind of practice. Patients should expect a pleasant experience from everyone in our office. Everything aspect of your care  should be convenient, timely, professional, and of high quality.    We’re proud of the fact that we’re the only clinic in Nevada to have achieved Health Insight’s quality award every year since it’s existence.

We don’t use technology just because it is “neat” or “new”. We will only incorporate technology to help improve our medical care to patients.  Our main goal is to incorporate technology to streamline the hassles our office staff faces, so we can spend more time with you, our patient. We are committed to using our time to focus on providing you and your family with the care you deserve.

Medical Technology is constantly changing.  Each week new medicines, new tests, and new procedures are developed. Learning how and when to use these technologies is key to being a good primary care physician. We’re not only committed to learning about new medical therapies at Silver sage Center for Family Medicine but also fully understanding how we can best apply these  technologies to improve your health.

Finally, we’re most proud of our commitment to our community.    We have been members of 1% for the Planet since 2007 by making donations to local environmental charities.   We also have been proud sponsors for a number of local events, races and charities.   Giving back to our community is the best way we can show our appreciation for you trusting your care with us.


Undergraduate: University of Michigan, Bachelor of Science
Medical Degree: University of Michigan
Residency: University of Wisconsin-Madison, Department of Family Medicine
Fellowship: University of Wisconsin – masters in Epidemiology/Preventive Medicine

American Board of Family Practice Board Certified 1996, recertified 2002, 2008

Professional Memberships

American Academy of Family Physicians

Nevada Academy of Family Physicians

Washoe County Medical Society

Nevada State Medical Association

American College of Sports Medicine

North American Primary Care Research Group

AAFP National Research Network

Aerospace Medical Association

Civil Aviation Medical Association


International Society of Travel Medicine

Wilderness Medical Association

FAA Aviation Medical Examiner 12/2010- Current

Medicine of Cylcling Society

Teresa Angermann, DO

I enjoy working with patients of all ages, from newborns to the elderly, and I enjoy getting to know patients on a more personal level. That’s why I chose family medicine.

The field of family medicine allows time for meeting with a patient”s family members, which helps in understanding their social interactions and how their family lives shape their well-being. A patient’s well-being is greatly affected by the social network and support system that is their family.

I chose to pursue osteopathic medicine because of my strong interest in physical therapy and my desire to help each patient create an environment that allows the body to heal itself by incorporating elements of preventative nutrition, manual therapy, exercise prescription, and medication. I encourage patients to take an active role in their health care, and emphasize close communication as the key to building a strong patient-physician relationship. I enjoy seeing patients with a variety of medical concerns, but I have a special interest in women’s health, musculoskeletal disorders and diabetes.


Undergraduate: University of California-Davis Bachelors in Nutritional Science
Medical Degree: Arizona College of Osteopathic Medicine
Residency: University of Nevada-Reno Department of Family and Community Medicine

American Board of Family Practice Board Certified 2003, recertified 2009

Professional Memberships

American Academy of Family Physicians
Nevada Academy of Family Physicians
Nevada Sate Medical Association

Melanie Perl, MSN, APRN, FNP-C

Melanie Perl joined Silver Sage in 2017. She has been a registered nurse since 2011, and since then has worked for Renown Regional Medical Center, Gastroenterology Associates and Carson Tahoe Regional Healthcare.

As a former personal and group fitness trainer, she is experienced in assessing movement and teaching proper technique to clients from all ages and walks of life. She participates in amateur MMA fights, while also assisting the physicians with pre-fight physicals and post-fight assessments.

Perl earned her MSN and BSN in Nursing from the University of Nevada, Reno and her associate’s degree in personal training from TMCC. She is also certified in Basic Life Support and Advance Cardiac Life Support and Pediatric Advanced Life Support from the American Heart Association.


MSN Nursing, University of Nevada, Reno

BSN Nursing, University of Nevada, Reno

Associate of Science 2008, Personal Training, TMCC

Registered Nurse, License #67484

Basic Life Support, American Heart Association

Advanced Cardiac Life Support, American Heart Association

Pediatric Advanced Life Support, American Heart Association

Jason P Crawford, MD, MPH, FAAFP

I am excited to join Silver Sage Center for Family Medicine as of April, 2018.  I have enjoyed a career as a family physician and providing care across all ages.  Offering family-oriented, comprehensive primary care to all ages and truly getting to know my patients and their families has made medicine exciting and rewarding throughout my career.  I also have focused interests in cancer prevention, treatment of cardio-metabolic and vascular disorders such as heart disease, diabetes, and high blood pressure, as well as comprehensive children’s and women’s healthcare.

I have completed research in the areas of public health, global health and community medicine and have participated in research and program development to improve global health abroad.

I speak Spanish and have a strong commitment providing culturally competent care to all.

I continue to participate in the UNR preceptorship program to help train the future generation of physicians.

My family and I have called Reno home since 2004.  We enjoy the outdoor beauty and sport that the Reno/Tahoe area provides.  In addition to a love for travel, history, and culture, I enjoy listening to and playing music and staying active in volleyball, soccer, skiing, and backpacking/hiking.


Fellowship:  Fellow, American Academy of Family Physicians

Board certification:  Diplomate, American Board of Family Medicine, 2007, recertified 2017

Residency: University of Nevada, Reno, Family Medicine Residency Program, Reno, NV, 2004-2007

Chief Resident, 2006-2007

Medical school:  University of Arizona College of Medicine, MD/MPH program, Tucson, AZ, 1999-2004

Other professional/graduate degree school:

Masters of Public Health, University of Arizona College of Public Health, Tucson, AZ, 1999-2002

Undergraduate Education: James Madison University, Harrisonburg, VA, 1991-1995

Professional Memberships

American Academy of Family Physicians

Nevada Academy of Family Physicians