Stephanie M Fosback, MD | |
825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 | |
(509) 332-2517 | |
(509) 334-9247 |
Full Name | Stephanie M Fosback |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 825 Se Bishop Blvd, Pullman, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760591622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M-10741 (Idaho) | Secondary |
207R00000X | Internal Medicine | MD60022454 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Liberty lake, WA | Home health agency |
Elite Home Health | Clarkston, WA | Home health agency |
Gentiva Hospice | Liberty lake, WA | Hospice |
Pullman Regional Hospital | Pullman, WA | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palouse Medical Ps | 7618863358 | 12 |
Public Hospital District 1-a Of Whitman County | 8325934987 | 49 |
Entity Name | Public Hospital District #1-a Of Whitman County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
Entity Name | Palouse Medical Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548299696 PECOS PAC ID: 7618863358 Enrollment ID: O20040227000496 |
Mailing Address | Practice Location Address |
---|---|
Stephanie M Fosback, MD 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 Ph: (509) 332-2517 | Stephanie M Fosback, MD 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 Ph: (509) 332-2517 |
Benno J Mohr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 | |
Dennis L Simpson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 | |
Usha Nandhini, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 201, Pullman, WA 99163 Phone: 509-338-6000 | |
Vinod Chimanlal Mehta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Se Bishop Blvd Ste 103, Pullman, WA 99163 Phone: 509-338-6000 | |
David T Jones, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 140, Pullman, WA 99163 Phone: 509-336-7577 | |
Linda Fearn, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Ne 1125 Washington St, Washington State University, Pullman, WA 99164 Phone: 509-335-3575 |