Donald R Halsey, | |
1057 E Grand Ave, Arroyo Grande, CA 93420-2504 | |
(805) 270-1700 | |
(805) 481-7097 |
Full Name | Donald R Halsey |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1057 E Grand Ave, Arroyo Grande, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811917537 | NPI | - | NPPES |
W1508 | Other | CA | MEDICARE GROUP ID |
W1508A | Other | CA | PTAN: B1509Y PTAN GROUP |
FHC70693F | Medicaid | CA | |
W1508C | Other | CA | PTAN: B1509Z. GROUP |
W1508D | Other | CA | PTAN: B1509X PTAN GROUP |
W1508E | Other | CA | PTAN: B1509W , PTAN GROUP |
W1508C | Other | CA | PTAN: B1509Z |
W1508E | Other | CA | PTAN: B1509W PTAN GROUP |
W1508A | Other | CA | MEDICARE GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G32152 (California) | Primary |
207P00000X | Emergency Medicine | G32152 (California) | Secondary |
Entity Name | Community Health Centers Of The Central Coast Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
---|---|
Donald R Halsey, 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Donald R Halsey, 1057 E Grand Ave, Arroyo Grande, CA 93420-2504 Ph: (805) 270-1700 |
George M Cury, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-481-7220 Fax: 805-481-7097 | |
Dr. Leland P Werner, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1455 Ewing Rd, Arroyo Grande, CA 93420 Phone: 805-489-3967 | |
W Damian Kramer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-481-7220 Fax: 805-481-7097 | |
Joseph J Ardito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1180 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-474-9159 | |
Bradley Curtis Idelshon, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1057 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-270-1700 Fax: 805-481-7097 | |
Heather H Elledge, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1154 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-395-3277 | |
Karin Wells Schiller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 Bridge St, Arroyo Grande, CA 93420 Phone: 805-481-1975 Fax: 805-481-2360 |