| Dennis W. B. Payne, Md A Professional Corporation | |
|
838 Nordahl Rd Ste 310 San Marcos CA 92069-3599 | |
| (442) 999-5977 | |
| (442) 999-5914 |
| Full Name | Dennis W. B. Payne, Md A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 838 Nordahl Rd Ste 310, San Marcos, California |
| Authorized Official Name and Position | Dennis Payne, Md (PSYCHIATRIST) |
| Authorized Official Contact | 7604095111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis W. B. Payne, Md A Professional Corporation Po Box 947 San Marcos CA 92079-0947 Ph: (760) 409-5111 | Dennis W. B. Payne, Md A Professional Corporation 838 Nordahl Rd Ste 310 San Marcos CA 92069-3599 Ph: (442) 999-5977 |
| NPI Number | 1922601723 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Medicare PECOS PAC ID | 6507270568 |
|---|---|
| Medicare Enrollment ID | O20210202003199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922601723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dennis Wb Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043242696 PECOS PAC ID: 1557412772 Enrollment ID: I20090630000231 |
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