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Mary Allison Smithers

Pediatrics

Allopathic & Osteopathic Physicians

3145 Porter Dr., Wing B, Mc 5395, Palo Alto, CA 94304

PECOS Enrollment

This provider is enrolled in PECOS as MARY SMITHERS.

Based on the most recent information from CMS, provider Mary Allison Smithers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1487230181
Provider Type
Individual
Full Name
Smithers, Mary Allison
Gender
Female

Sole Proprietor
No
Enumeration Date
3/22/2021
Last Updated
7/31/2024

Contact Information

Practice Location

3145 Porter Dr., Wing B, Mc 5395, Palo Alto, CA 94304

(650) 736-8914

Unlisted Fax

Mailing Location

3145 Porter Drive, Wing B, Mc 5395, Palo Alto, CA 94304

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A194476 California

Mary Allison Smithers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Chiou, Mary Le

Dixit, Amy Rachel

Mclaughlin, Jerry

Meyers, Matthew John

Aljadeff, Gali

Lee, Lucy Chu

Gage, Susan Corinne

Buzi, Nadav

Trope, Lee Abby

Sanders, Amanda Megan