| Alex Layne Dutson, | |
|
147 N Brent St, Ventura, CA 93003-2809 | |
| (805) 652-5672 | |
| Not Available |
| Full Name | Alex Layne Dutson |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 7 Years |
| Location | 147 N Brent St, Ventura, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528553344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | DO2939 (Nevada) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Home Health Services | Elko, NV | Home health agency |
| New Horizon Home Care, Llc | Elko, NV | Home health agency |
| Northeastern Nevada Regional Hospital | Elko, NV | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Battle Mountain General Hospital | Batte mtn, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Nevada Physician Practices Llc | 3779649223 | 15 |
| Entity Name | Northeastern Nevada Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457599458 PECOS PAC ID: 3779649223 Enrollment ID: O20090306000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Layne Dutson, 147 N Brent St, Ventura, CA 93003-2809 Ph: () - | Alex Layne Dutson, 147 N Brent St, Ventura, CA 93003-2809 Ph: (805) 652-5672 |
Dr. Gillian Austin Dorner, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003 Phone: 805-652-6000 | |
David Iskandar, DO General Practice Medicare: Medicare Enrolled Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5672 | |
Nicolas Limthong, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 148 N Brent St Ste 101, Ventura, CA 93003 Phone: 805-722-2468 Fax: 848-260-2833 |