Dr Kathleen Smith, MD | |
1450 Treat Blvd, Suite 140, Walnut Creek, CA 94597-2168 | |
(925) 296-9770 | |
(925) 296-9092 |
Full Name | Dr Kathleen Smith |
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Gender | Female |
Speciality | Pediatrics |
Location | 1450 Treat Blvd, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053412528 | NPI | - | NPPES |
00G792630 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G079263 (California) | Primary |
Entity Name | John Muir Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Smith, MD Dept 34929, P.o. Box 39000, San Francisco, CA 94139-0001 Ph: (925) 952-2828 | Dr Kathleen Smith, MD 1450 Treat Blvd, Suite 140, Walnut Creek, CA 94597-2168 Ph: (925) 296-9770 |
Bradley William Zerweck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Jmmc 3-east, 1601 Ygnacio Valley Road, Walnut Creek, CA 94598 Phone: 925-941-5270 | |
Cathy C. Dugan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Marc S Usatin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 440 Bridge Rd, Walnut Creek, CA 94595 Phone: 925-209-0100 | |
Rahul K. Parikh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Tessie A Okamura, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1450 Treat Blvd, Suite 140, Walnut Creek, CA 94597 Phone: 925-296-9770 Fax: 925-296-9092 | |
David J. Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 |