| Daisy Klith, NP | |
|
6065 Highway 193, Georgetown, CA 95634 | |
| (530) 333-2548 | |
| Not Available |
| Full Name | Daisy Klith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 6065 Highway 193, Georgetown, 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 |
|---|---|---|---|
| 1265975148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95005493 (California) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | 95005493 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall Medical Center | Placerville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marshall Medical Center | 7517875859 | 168 |
| Entity Name | Marshall Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114727377 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Daisy Klith, NP Po Box 45680, San Francisco, CA 94145-0680 Ph: (530) 333-2548 | Daisy Klith, NP 6065 Highway 193, Georgetown, CA 95634 Ph: (530) 333-2548 |
Janis Leigh Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6065 State Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 Fax: 530-748-0340 |
Barbara Anne Martin, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6065 State Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 |
Ms. Debra Boardman-cheevers, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6065 Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 Fax: 530-333-2832 |
Julie Crow-petersen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6065 State Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 |
Megan Laine Vu, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6065 Ca-193, Georgetown, CA 95634 Phone: 530-333-2548 |
Gregory L Dales, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6065 Highway 193, Georgetown, CA 95634 Phone: 530-333-2555 Fax: 530-333-2832 |