Nicole A Hannibal, DO | |
1215 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-1557 | |
(509) 598-7750 | |
Not Available |
Full Name | Nicole A Hannibal |
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Gender | Female |
Speciality | Family Medicine |
Location | 1215 N Mcdonald Rd Ste 101, Spokane Valley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639791718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OL61073038 (Washington) | Secondary |
207Q00000X | Family Medicine | OP61314799 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
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Nicole A Hannibal, DO Po Box 5299, Ms: 820-5-pco, Tacoma, WA 98415-0299 Ph: (253) 459-8009 | Nicole A Hannibal, DO 1215 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-1557 Ph: (509) 598-7750 |
Wilfred Alex Madarang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15812 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-434-0313 Fax: 509-444-8206 | |
Dr. Jeffery Stuart Givens, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16528 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-944-8907 | |
Dr. Elizabeth M Jansen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct Ste 3100, Spokane Valley, WA 99216 Phone: 509-944-9440 Fax: 509-227-7070 | |
Allen R Skidmore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-944-9440 Fax: 509-227-7070 | |
Dr. Karanpreet Kaur Khahera, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 N Pines Rd, Spokane Valley, WA 99206 Phone: 509-893-8140 | |
Darin P Eckert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14408 E Sprague Ave, Spokane Valley, WA 99216 Phone: 509-838-2531 | |
David Clark Gilman, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N 1414 Vereler, Bldg 4, Spokane Valley, WA 99216 Phone: 509-924-4681 Fax: 509-922-7634 |