Dr Michael W Detar, MD | |
13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | |
(509) 892-2700 | |
(509) 892-2740 |
Full Name | Dr Michael W Detar |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 36 Years |
Location | 13103 E Mansfield, Spokane, 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 |
---|---|---|---|
1427099449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | MD00032015 (Washington) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD00032015 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Multicare Valley Hospital | Spokane, WA | Hospital |
Deaconess Medical Center | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cellnetix Pathology Pllc | 8224062971 | 54 |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Cellnetix Pathology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356310866 PECOS PAC ID: 8224062971 Enrollment ID: O20050921001093 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael W Detar, MD Po Box 3405, Incyte Pathology Ps, Spokane, WA 99220-3405 Ph: (509) 892-2700 | Dr Michael W Detar, MD 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 Ph: (509) 892-2700 |
Francisco Velazquez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1101 W College Ave, Spokane, WA 99201 Phone: 509-324-4199 | |
Dr. Thomas Joseph Bassler Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Dr. Sally Aiken, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5901 N Lidgerwood St, Suite 24b, Spokane, WA 99208 Phone: 509-477-2296 Fax: 509-477-4362 | |
Dr. Karen Mary Ireland, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Dr. Wayne Gary Riches, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Dr. Alexandra M Wardzala, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Dr. Dennis J Small, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-473-7393 Fax: 509-473-7016 |