Bryanna Devinne Smith, is a
Student In An Organized Health Care Education/training Program based in Vista, California. Bryanna Devinne Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
536 W Vista Way, Vista, California. She can be reached at her office (for appointments etc.) via phone at
(760) 758-1650.
NPI number for Bryanna Devinne Smith is 1790384618 and her current mailing address is 490 N Grape St, Escondido, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790384618.
Healthcare Provider's Profile
| Full Name | Bryanna Devinne Smith |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 536 W Vista Way, Vista, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790384618
- Provider Enumeration Date: 10/21/2020
- Last Update Date: 06/19/2024
Medical Identifiers
Medical identifiers for Bryanna Devinne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790384618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryanna Devinne Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bryanna Devinne Smith,
490 N Grape St,
Escondido, CA 92025-3079
Ph: (760) 975-9939 | Bryanna Devinne Smith,
536 W Vista Way,
Vista, CA 92083-5704
Ph: (760) 758-1650 |
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