| Mr Erik Kristopher Smith, PA-C | |
|
925 Bevins Ct, Lakeport, CA 95453-9754 | |
| (707) 263-8382 | |
| Not Available |
| Full Name | Mr Erik Kristopher Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 925 Bevins Ct, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396033395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA21692 (California) | Primary |
| Entity Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| Entity Name | Glavinovich Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033086269 PECOS PAC ID: 2961994777 Enrollment ID: O20251119004324 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Erik Kristopher Smith, PA-C 729 Sunrise Ave, Ste 602, Roseville, CA 95661-4542 Ph: (916) 953-7571 | Mr Erik Kristopher Smith, PA-C 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
Ms. Nichol Ann Kriz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Road East, Lakeport, CA 95453 Phone: 707-262-5000 |
Jayla Flaum, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr Ste C, Lakeport, CA 95453 Phone: 707-262-5088 |
Erin E Thurman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5150 Hill Rd E Ste E, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-263-4036 |
Amanda L Smithers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 |
Christine Anne Goold, FNP/PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5144 Hill Rd E, Lakeport, CA 95453 Phone: 707-263-8955 Fax: 707-263-8340 |
Jaques Ngakam, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-263-3746 Fax: 707-263-3749 |
Kimberly Austin Kirschner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 |