Dr Jennifer L Kalisvaart, MD | |
315 W 9th Ave Ste 200, Spokane, WA 99204-2501 | |
(509) 960-8894 | |
(509) 290-6820 |
Full Name | Dr Jennifer L Kalisvaart |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 315 W 9th Ave Ste 200, 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 |
---|---|---|---|
1073666137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | AFE93313 (California) | Secondary |
208000000X | Pediatrics | MD 60217890 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
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Dr Jennifer L Kalisvaart, MD 315 W 9th Ave Ste 200, Spokane, WA 99204-2501 Ph: (509) 960-8894 | Dr Jennifer L Kalisvaart, MD 315 W 9th Ave Ste 200, Spokane, WA 99204-2501 Ph: (509) 960-8894 |
Robert E Piston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402 Fax: 509-483-7631 | |
Dr. Tanisha Kamille Morton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402 | |
Carolanne Lyons, Pediatrics Medicare: Medicare Enrolled Practice Location: 1402 S Grand Blvd, Spokane, WA 99203 Phone: 509-455-8220 | |
Sarah E D'hulst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 5th Ave, Spokane, WA 99202 Phone: 509-838-2531 | |
Dr. Joseph Paul Kincaid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 408 W 25th Ave, Spokane, WA 99203 Phone: 509-999-8237 | |
Carrie Elizabeth Laborde, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave Fl 3, Spokane, WA 99204 Phone: 509-474-2777 Fax: 509-474-6222 | |
Dr. David Ross Goshorn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Pshmc 3rd Flr, Spokane, WA 99204 Phone: 509-474-2277 |