Dr Clifford Ray Jones, MD | |
3302 Renner Dr Ste A, Fortuna, CA 95540-7103 | |
(707) 725-3318 | |
(707) 725-9396 |
Full Name | Dr Clifford Ray Jones |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3302 Renner Dr Ste A, Fortuna, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427083187 | NPI | - | NPPES |
1699836981 | Medicaid | CA | |
RHM53808F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F4125 (Texas) | Secondary |
207Q00000X | Family Medicine | C42987 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Clifford Ray Jones, MD 3302 Renner Dr Ste A, Fortuna, CA 95540-7103 Ph: (707) 725-3318 | Dr Clifford Ray Jones, MD 3302 Renner Dr Ste A, Fortuna, CA 95540-7103 Ph: (707) 725-3318 |
Dr. George Armas Jutila, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 874 Main St, Fortuna, CA 95540 Phone: 707-725-3334 Fax: 707-725-2455 | |
Dr. Katherine Anne Talbert Estlin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3429 Renner Dr, Fortuna, CA 95540 Phone: 707-726-2255 Fax: 707-949-9715 | |
Daniel Alan Heyn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3302 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3318 Fax: 707-725-1998 | |
Andrew Turner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3429 Renner Dr, Fortuna, CA 95540 Phone: 707-726-2255 Fax: 707-949-9715 | |
Philip L Olkin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3302 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3318 Fax: 707-725-9396 | |
Rodney Blaine Grover, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3306 Renner Dr, Fortuna, CA 95540 Phone: 707-725-6101 Fax: 707-725-2978 |