| Dr Kelly Painter, MD | |
|
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
| (323) 967-1884 | |
| (323) 967-1744 |
| Full Name | Dr Kelly Painter |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215910682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A76419 (California) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | A76419 (California) | Primary |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Painter, MD Po Box 512717, Los Angeles, CA 90051-0717 Ph: (323) 967-1884 | Dr Kelly Painter, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (323) 967-1884 |
Casey Distaso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Maximilian Hawkins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Cory Todd Munden, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-5000 | |
Shant Pezeshkian, DO, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Dr. Wendy Denham, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-967-1884 Fax: 310-937-1744 | |
Dr. Stephen Gregory Kefalas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8753 |