Pennie L Schultz, MD | |
16528 E Desmet Ct, Spokane Valley, WA 99216-3522 | |
(509) 944-8770 | |
(509) 227-7070 |
Full Name | Pennie L Schultz |
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Gender | Female |
Speciality | Pediatrics |
Location | 16528 E Desmet Ct, 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 |
---|---|---|---|
1912054339 | NPI | - | NPPES |
113198200 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 6100A (Wyoming) | Secondary |
208000000X | Pediatrics | MD61096761 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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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 |
---|---|
Pennie L Schultz, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Pennie L Schultz, MD 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 Ph: (509) 944-8770 |
Dr. Ponrat Pakpreo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct Ste B-1000, Spokane Valley, WA 99216 Phone: 509-944-8860 Fax: 509-944-8856 | |
Haley Wilkes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15812 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-444-8200 | |
Dr. Tamara L Simmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420 | |
Dr. Ann M Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420 | |
Anne Marie Mccarthy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler Rd Ste 1, Spokane Valley, WA 99216 Phone: 509-926-9420 | |
Dr. Bruce Abbotts, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420 | |
Marcus Baca, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15812 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-444-8888 Fax: 509-444-7806 |