| Mr Douglas Kent Smith, FNP,PA | |
|
1354 N Newcomb St, Porterville, CA 93257-9588 | |
| (559) 333-0365 | |
| Not Available |
| Full Name | Mr Douglas Kent Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 37 Years |
| Location | 1354 N Newcomb St, Porterville, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902016611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA12304 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN376101 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centro De Salud De La Comunidad De San Ysidro,inc. | 6901709435 | 291 |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Kent Smith, FNP,PA Po Box 630, Porterville, CA 93258-0630 Ph: (559) 333-0365 | Mr Douglas Kent Smith, FNP,PA 1354 N Newcomb St, Porterville, CA 93257-9588 Ph: (559) 333-0365 |
Mrs. Pamela Lynn Avila, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 567 W Putnam Ave, Porterville, CA 93257 Phone: 559-781-0386 Fax: 559-781-8147 |
Dr. Ramon Vinicio Pena Galvan, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 590 W Putnam Ave, Porterville, CA 93257 Phone: 559-781-3700 |
Daisy Ivette Serrano Ortiz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 664 N Division St, Porterville, CA 93257 Phone: 559-676-1243 |
Melissa Ann Halsey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 229 W Cherry Ave, Porterville, CA 93257 Phone: 559-789-0277 Fax: 559-789-0147 |
Rebecca Escobar, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 W Putnam Ave, Porterville, CA 93257 Phone: 559-781-1665 |
Adam Burkhart, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 590 W Putnam Ave, Porterville, CA 93257 Phone: 559-781-3700 |
Martha Moreno, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 590 W Putnam Ave Ste 9, Porterville, CA 93257 Phone: 559-781-4100 Fax: 559-781-1230 |