| Kelly Fairbairn, DO | |
|
147 N Brent St, Ventura, CA 93003 | |
| (805) 652-5672 | |
| Not Available |
| Full Name | Kelly Fairbairn |
|---|---|
| Gender | Female |
| Speciality | Thoracic Surgery |
| Experience | 10 Years |
| Location | 147 N Brent St, Ventura, 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 |
|---|---|---|---|
| 1427434174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 20A15189 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Surgeons Of Orange A Medical Group | 6901705227 | 101 |
| Entity Name | University Surgeons Of Orange A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806904 PECOS PAC ID: 6901705227 Enrollment ID: O20040106000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Fairbairn, DO 101 The City Dr S, Orange, CA 92868-3201 Ph: () - | Kelly Fairbairn, DO 147 N Brent St, Ventura, CA 93003 Ph: (805) 652-5672 |
Ryan J Vela, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: May Accept Medicare Assignments Practice Location: 168 N Brent St Ste 508, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Lamar J. Bushnell, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 168 N Brent St Ste 508, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Dr. Jennifer Jean Wan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 168 N Brent St Ste 508, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Dominic J. Tedesco, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 145 N Brent St, Suite 102, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 |