Jessica Renae Craddock, MD | |
212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | |
(509) 252-9602 | |
(509) 789-9031 |
Full Name | Jessica Renae Craddock |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 13 Years |
Location | 212 E Central Ave, Spokane, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154614469 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Providence Vna Home Health | Spokane, WA | Home health agency |
Providence Holy Family Hospital | Spokane, WA | Hospital |
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Providence Mount Carmel Hospital | Colville, WA | Hospital |
Pullman Regional Hospital | Pullman, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 0345139929 | 694 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
---|---|
Jessica Renae Craddock, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Jessica Renae Craddock, MD 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 Ph: (509) 252-9602 |
Robert Leonard Mulvihill, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S. Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 | |
Dr. Jason Lamar Aldred, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 S Sherman St, Suite 201, Spokane, WA 99202 Phone: 509-458-7720 Fax: 509-777-0432 | |
Abdelrahman Fouad Ahmed Beltagy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-2894 Fax: 509-474-2895 | |
Jocelyn Cayla Mccornack, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 | |
Hyung Uk Park, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9631 N Nevada St Ste 300, Spokane, WA 99218 Phone: 509-465-3919 | |
Laura C Moss, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-4818 | |
Thomas Stanley Beck Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 |