| Dr Evelyn Renee Smith, MD | |
|
842 California Blvd, San Luis Obispo, CA 93401-2902 | |
| (805) 542-9678 | |
| (805) 542-9685 |
| Full Name | Dr Evelyn Renee Smith |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 842 California Blvd, San Luis Obispo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194762070 | NPI | - | NPPES |
| 616024300 | Other | UT | ACS/US DEPT LABOR |
| FL915Z | Other | CA | MEDICARE PTAN |
| 56-2593593 | Other | CA | CIGNA HEALTHCARE |
| 000067751 | Other | UT | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD223766 (Oregon) | Secondary |
| 174400000X | Specialist | G77320 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan North Lincoln Hospital | Lincoln city, OR | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Samaritan North Lincoln Hospital | 7911816301 | 40 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457593980 PECOS PAC ID: 9830094515 Enrollment ID: O20090916000833 |
| Entity Name | First Choice Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1972877264 PECOS PAC ID: 9830094515 Enrollment ID: O20130222000306 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467825844 PECOS PAC ID: 9830094515 Enrollment ID: O20160223001845 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evelyn Renee Smith, MD 842 California Blvd, San Luis Obispo, CA 93401-2902 Ph: (805) 542-9678 | Dr Evelyn Renee Smith, MD 842 California Blvd, San Luis Obispo, CA 93401-2902 Ph: (805) 542-9678 |