Dr Eric D Dant, MD | |
850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022-0800 | |
(509) 565-4000 | |
(509) 565-4705 |
Full Name | Dr Eric D Dant |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 850 Maple Street, Medical Lake, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699746404 | NPI | - | NPPES |
806187300 | Other | ID | BOUNDARY COMMUNITY HOSP |
806187300 | Medicaid | ID | |
8147910 | Other | WA | MEDICAID |
8147910 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M8280 (Idaho) | Secondary |
207Q00000X | Family Medicine | MD00030830 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spokane Behavioral Health Llc | 2961757489 | 19 |
Entity Name | Spokane Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932698107 PECOS PAC ID: 2961757489 Enrollment ID: O20190117001282 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric D Dant, MD Po Box 800, Eastern State Hospital, Medical Lake, WA 99022-0800 Ph: (509) 565-4000 | Dr Eric D Dant, MD 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022-0800 Ph: (509) 565-4000 |
Dr. Suzanne D. Peregoy, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Ted Y Toribara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Thomas A. Crisp Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Steven W. Palmieri, PHD, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Douglas R Gwinn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 N Stanley St, Suite D, Medical Lake, WA 99022 Phone: 509-838-2531 | |
Dr. Blesilda A Mamerto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 |