Dr Joel D Hernandez, MD | |
101 W 8th Ave, Ste. 100, L-1, Spokane, WA 99204-2307 | |
(509) 232-1192 | |
(509) 232-1165 |
Full Name | Dr Joel D Hernandez |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Nephrology |
Location | 101 W 8th Ave, 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 |
---|---|---|---|
1760516462 | NPI | - | NPPES |
GAB32999 | Other | WA | MEDICARE GROUP |
807680300 | Other | WA | IDAHO MEDICAID |
8480683 | Other | WA | WA MEDICAID |
G8864785 | Other | WA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | MD00047205 (Washington) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Dr Joel D Hernandez, MD 910 N Washington St, Ste. 209, Spokane, WA 99201-2202 Ph: (509) 232-1192 | Dr Joel D Hernandez, MD 101 W 8th Ave, Ste. 100, L-1, Spokane, WA 99204-2307 Ph: (509) 232-1192 |
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 |