Kellie Vazquez, CMA is a
Physician Assistant based in Spokane, Washington. Kellie Vazquez is licensed to practice in * (Not Available) (license number ) and her current practice location is
1302 W Gardner Ave, Spokane, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 503-6010.
NPI number for Kellie Vazquez is 1417615527 and her current mailing address is 7440 W Marginal Way S, Seattle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417615527.
Healthcare Provider's Profile
| Full Name | Kellie Vazquez |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1302 W Gardner Ave, Spokane, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417615527
- Provider Enumeration Date: 12/06/2021
- Last Update Date: 12/07/2021
Medical Identifiers
Medical identifiers for Kellie Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417615527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Vazquez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kellie Vazquez, CMA
7440 W Marginal Way S,
Seattle, WA 98108-4141
Ph: () - | Kellie Vazquez, CMA
1302 W Gardner Ave,
Spokane, WA 99201-2059
Ph: (509) 503-6010 |
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