| Dr Stephanie Smith, AUD | |
|
11201 Benton St, Loma Linda, CA 92357-1000 | |
| (909) 825-7084 | |
| Not Available |
| Full Name | Dr Stephanie Smith |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 11201 Benton St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487819017 | NPI | - | NPPES |
| AU2599 | Other | CALIFORNIA AUDIOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 030877 (Oregon) | Secondary |
| 231H00000X | Audiologist | AU2599 (California) | Primary |
| Provider Name | Bend Memorial Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Smith, AUD 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 | Dr Stephanie Smith, AUD 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 |
Brittney Keyworth, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Cynthia Louise Frederickson, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Ian Boyle, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Imari Greaves, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St Bldg 30, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Ian Benjamin Mertes, AU.D., PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: Va Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Kelsey Samuelson, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Ashley Sol Chun, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11201 Benton St Bldg 30, Loma Linda, CA 92357 Phone: 909-825-7084 |