Kelly Fairbairn, DO | |
147 N Brent St, Ventura, CA 93003 | |
(805) 652-5672 | |
Not Available |
Full Name | Kelly Fairbairn |
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Gender | Female |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 147 N Brent St, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1427434174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 20A15189 (California) | Primary |
Entity Name | University Surgeons Of Orange A Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407806904 PECOS PAC ID: 6901705227 Enrollment ID: O20040106000614 |
Mailing Address | Practice Location Address |
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Kelly Fairbairn, DO 101 The City Dr S, Orange, CA 92868-3201 Ph: () - | Kelly Fairbairn, DO 147 N Brent St, Ventura, CA 93003 Ph: (805) 652-5672 |
Berkeley Brandt Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 145 N Brent St, Suite 102, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Lamar J. Bushnell, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 145 N. Brent Street, Suite 102, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Dominic J. Tedesco, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 145 N Brent St, Suite 102, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 |