Renata Milena Stoszek Moon, MD | |
322 W North River Dr, Spokane, WA 99201-3208 | |
(509) 324-6464 | |
Not Available |
Full Name | Renata Milena Stoszek Moon |
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Gender | Female |
Speciality | Pediatrics |
Location | 322 W North River Dr, 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 |
---|---|---|---|
1154376101 | NPI | - | NPPES |
AB32999 | Other | WA | MEDICARE GROUP |
8402687 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME154557 (Florida) | Primary |
208000000X | Pediatrics | MD00043974 (Washington) | Secondary |
Entity Name | Boundary Regional Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195 |
Mailing Address | Practice Location Address |
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Renata Milena Stoszek Moon, MD 6451 N Federal Hwy, Fort Lauderdale, FL 33308-1402 Ph: (877) 336-6077 | Renata Milena Stoszek Moon, MD 322 W North River Dr, Spokane, WA 99201-3208 Ph: (509) 324-6464 |
Robert E Piston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402 Fax: 509-483-7631 | |
Dr. Tanisha Kamille Morton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402 | |
Carolanne Lyons, Pediatrics Medicare: Medicare Enrolled Practice Location: 1402 S Grand Blvd, Spokane, WA 99203 Phone: 509-455-8220 | |
Sarah E D'hulst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 5th Ave, Spokane, WA 99202 Phone: 509-838-2531 | |
Dr. Joseph Paul Kincaid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 408 W 25th Ave, Spokane, WA 99203 Phone: 509-999-8237 | |
Carrie Elizabeth Laborde, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave Fl 3, Spokane, WA 99204 Phone: 509-474-2777 Fax: 509-474-6222 | |
Dr. David Ross Goshorn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Pshmc 3rd Flr, Spokane, WA 99204 Phone: 509-474-2277 |