Christopher A Tullis, MD | |
421 S Division St Ste 2, Spokane, WA 99202-1331 | |
(509) 474-5858 | |
(509) 277-7070 |
Full Name | Christopher A Tullis |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 421 S Division St Ste 2, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578600342 | NPI | - | NPPES |
MD00028332 | Other | WA | LICENCE |
GAB11220 | Other | WA | MDC PIN # |
8241721 | Medicaid | WA | |
9611674 | Medicaid | WA | |
930077172 | Other | WA | MDC RR # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00037161 (Washington) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | MD00037161 (Washington) | Secondary |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
---|---|
Christopher A Tullis, MD 910 N Washington St, Suite 209, Spokane, WA 99201-2202 Ph: () - | Christopher A Tullis, MD 421 S Division St Ste 2, Spokane, WA 99202-1331 Ph: (509) 474-5858 |
Dr. Richard W Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-484-8069 Fax: 509-462-4086 | |
Lynn Bergman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood, Emergency Physicians Services, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
Mary Anna Chiu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
David S Mcclellan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 | |
Charles N. Roberts, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5633 N. Lidergerwood, Spokane, WA 99208 Phone: 509-482-0111 | |
Stephen Penaskovic, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 | |
Michael J Wymore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 |