Michael P Sicilia, MD | |
5633 N. Lidergerwood, Spokane, WA 99208 | |
(509) 482-0111 | |
Not Available |
Full Name | Michael P Sicilia |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 5633 N. Lidergerwood, 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 |
---|---|---|---|
1770620551 | NPI | - | NPPES |
MD00036125 | Other | WA | LICENCE |
9611674 | Medicaid | WA | |
8228363 | Medicaid | WA | |
GAB067779 | Other | WA | MDC PIN # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00036125 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Holy Family Hospital | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physician Services Ps Holy Emergency Center | 1052594314 | 18 |
Entity Name | Emergency Physician Services Ps Holy Emergency Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336445634 PECOS PAC ID: 1052594314 Enrollment ID: O20110323000702 |
Mailing Address | Practice Location Address |
---|---|
Michael P Sicilia, MD 910 N Washington St, Suite 209, Spokane, WA 99201-2202 Ph: () - | Michael P Sicilia, MD 5633 N. Lidergerwood, Spokane, WA 99208 Ph: (509) 482-0111 |
Dr. Richard W Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-484-8069 Fax: 509-462-4086 | |
Lynn Bergman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood, Emergency Physicians Services, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
Mary Anna Chiu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
David S Mcclellan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 | |
Charles N. Roberts, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5633 N. Lidergerwood, Spokane, WA 99208 Phone: 509-482-0111 | |
Stephen Penaskovic, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 | |
Michael J Wymore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 |