Phillip Smith, NP | |
10333 E Camino Real, Atascadero, CA 93422-5808 | |
(805) 468-2000 | |
(805) 468-6011 |
Full Name | Phillip Smith |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 10333 E Camino Real, Atascadero, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144245358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN 484213 (California) | Secondary |
363L00000X | Nurse Practitioner | NP 8636 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Phillip Smith, NP 1600 9th Street, Room 150, Fiscal Allocations And Estimates Unit, Sacramento, CA 95814-6414 Ph: (916) 651-9475 | Phillip Smith, NP 10333 E Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000 |
Gizella Maria Raymond, N.P., R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-3007 | |
Mrs. Rannveig K Gunnarsson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Ms. Maria Guadalupe Rincon-brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Kelly Lynne Cash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8280 Morro Rd, Atascadero, CA 93422 Phone: 805-464-2991 | |
Marie Louise Tuohey-mote, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 | |
Christina Lynn Maciel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9700 El Camino Real Ste 100, Atascadero, CA 93422 Phone: 805-466-1330 | |
James Douglass Mendenhall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2188 |