Dr Alton J Smalley, DPM | |
12140 New York Ranch Road, Jackson Rancheria Health Complex, Jackson, CA 95642-9344 | |
(209) 257-2400 | |
(209) 257-2403 |
Full Name | Dr Alton J Smalley |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 47 Years |
Location | 12140 New York Ranch Road, Jackson, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316946551 | NPI | - | NPPES |
P00452685 | Other | CA | NEW RR PROVIDER # |
000E21500 | Medicaid | CA | |
48006076 | Other | CA | RR INDIVIDUAL PROV. # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E2150 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Amador Hospital | Jackson, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
M A C T Health Board Incorporated | 8325936974 | 20 |
Provider Name | M A C T Health Board Incorporated |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20040305001143 |
Mailing Address | Practice Location Address |
---|---|
Dr Alton J Smalley, DPM 12140 New York Ranch Road, Jackson Rancheria Health Complex, Jackson, CA 95642-9344 Ph: (209) 257-2400 | Dr Alton J Smalley, DPM 12140 New York Ranch Road, Jackson Rancheria Health Complex, Jackson, CA 95642-9344 Ph: (209) 257-2400 |
David L Dutra Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 613 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-3030 Fax: 209-223-5864 | |
David Lee Dutra, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 613 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-3030 Fax: 209-223-5864 | |
Dr. Kirmanj Tahsin Atrushi, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403 |