| Michelle Eastman-smith, | |
|
19901 1st St Ste 4, Hilmar, CA 95324-9099 | |
| (209) 656-8701 | |
| Not Available |
| Full Name | Michelle Eastman-smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 19901 1st St Ste 4, Hilmar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215779673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95066370 (California) | Primary |
| Entity Name | Merced Faculty Associates Medical Group Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285623256 PECOS PAC ID: 4789678111 Enrollment ID: O20040409000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Eastman-smith, Po Box 3768, Merced, CA 95344-3768 Ph: (209) 725-7149 | Michelle Eastman-smith, 19901 1st St Ste 4, Hilmar, CA 95324-9099 Ph: (209) 656-8701 |
Sonia Mahi, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8397 Lander Ave, Hilmar, CA 95324 Phone: 209-669-2655 |
Elaiza Jazmyn Duran, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19901 1st St Ste 4, Hilmar, CA 95324 Phone: 209-656-8701 Fax: 209-656-8704 |