Mara Hazeltine, MD | |
62 W 7th Ave Ste 320, Spokane, WA 99204-2321 | |
(509) 381-6505 | |
Not Available |
Full Name | Mara Hazeltine |
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Gender | Female |
Speciality | Family Medicine |
Location | 62 W 7th Ave Ste 320, 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 |
---|---|---|---|
1689134181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD61263356 (Washington) | Primary |
Entity Name | Community Health Association Of Spokane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326005851 PECOS PAC ID: 9638063217 Enrollment ID: O20040212000971 |
Mailing Address | Practice Location Address |
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Mara Hazeltine, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Mara Hazeltine, MD 62 W 7th Ave Ste 320, Spokane, WA 99204-2321 Ph: (509) 381-6505 |
Edward P. Brow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 W North River Dr, Spokane, WA 99201 Phone: 509-324-6464 | |
Dr. Arild Lein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Mission Ave, Spokane, WA 99201 Phone: 509-326-4343 | |
Mark Ashley Hart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 E Holland Ave, Spokane, WA 99218 Phone: 509-466-3960 Fax: 509-466-9566 | |
Kelly C. Grieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9911 N Nevada St, Spokane, WA 99218 Phone: 509-626-9420 Fax: 509-227-7070 | |
Mr. Philip Roger Henry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Rowan Ave, Suite A, Spokane, WA 99207 Phone: 509-483-3155 Fax: 509-483-3270 | |
Dr. Ryan Massoud, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070 | |
Kattrina Michelle Rall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 Fax: 509-626-9920 |