Dr Anne Kieryn, MD | |
13424 E Mission Ave, Spokane Valley, WA 99216 | |
(509) 822-4200 | |
(590) 462-2275 |
Full Name | Dr Anne Kieryn |
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Gender | Female |
Speciality | Surgery |
Location | 13424 E Mission Ave, Spokane Valley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770652232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD60895607 (Washington) | Secondary |
208600000X | Surgery | A117176 (California) | Secondary |
208600000X | Surgery | 8754863-1205 (Utah) | Primary |
Entity Name | Physician Group Of Utah Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Mailing Address | Practice Location Address |
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Dr Anne Kieryn, MD 13424 E Mission Ave, Spokane Valley, WA 99216-2759 Ph: (509) 822-4200 | Dr Anne Kieryn, MD 13424 E Mission Ave, Spokane Valley, WA 99216 Ph: (509) 822-4200 |
Heather Anne Hartshorn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 N Houk Rd Ste 203, Spokane Valley, WA 99216 Phone: 509-838-2531 Fax: 509-755-6580 | |
Dr. Damon E. Sheneman, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1512 N Vercler Rd, Suite 103, Spokane Valley, WA 99216 Phone: 509-838-2531 | |
Dr. Max Edward Seaton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13424 E Mission Ave Ste A, Spokane Valley, WA 99216 Phone: 855-229-8012 Fax: 509-462-2275 | |
Tracy A Berg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 16201 E Indiana Ave, Ste 3100, Spokane Valley, WA 99216 Phone: 509-891-8904 Fax: 509-344-3104 | |
Stephen A Reese, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1512 N Vercler Rd, Suite 103, Spokane Valley, WA 99216 Phone: 509-838-2531 | |
Scott W Nye, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1414 N Houk Rd, Ste 104, Spokane Valley, WA 99216 Phone: 509-922-1376 Fax: 509-921-9763 |