Tyrone Smith, | |
50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | |
(760) 393-0555 | |
(760) 393-0522 |
Full Name | Tyrone Smith |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 50249 Cesar Chavez St Ste K, Coachella, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548729080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95015797 (California) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Tyrone Smith, 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 Ph: (760) 393-0555 | Tyrone Smith, 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 Ph: (760) 393-0555 |
Jeffrey Contreras Sr., FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-391-5151 Fax: 760-391-5159 | |
Mr. Saifuddin Talib, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50249 Cesar Chavez St Ste K, Coachella, CA 92236 Phone: 760-393-0555 Fax: 760-393-0522 | |
Mrs. Megan Kellie Suwara, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49617 Cesar Chavez St Ste B, Coachella, CA 92236 Phone: 760-398-3555 | |
Ms. Rocio Ruelas, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51544 Cesar Chavez St Ste 1d, Coachella, CA 92236 Phone: 760-861-1436 | |
Lyneeka Pittman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49-111 Ca-111, #6a, Coachella, CA 92236 Phone: 888-743-7526 | |
Ritu Thapa Magar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49305 Grapefruit Blvd Ste 1, Coachella, CA 92236 Phone: 760-391-9062 | |
Mr. Samuel Howard Babkow, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-775-4181 |