Tycho E Kersten, MD | |
601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 | |
(509) 344-2663 | |
(509) 624-9179 |
Full Name | Tycho E Kersten |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 29 Years |
Location | 601 W 5th Ave, 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 |
---|---|---|---|
1568438562 | NPI | - | NPPES |
379109600 | Other | WA | OWCP |
8276586 | Medicaid | WA | |
22669 | Other | WA | GROUP HEALTH NW |
0149631 | Other | WA | DEPT OF LABOR & INDUSTRIE |
5030KE | Other | WA | ASURIS NW HEALTH |
806017400 | Medicaid | ID | |
8928289 | Other | WA | CRIME VICTIMS |
000010135813 | Other | ID | REGENCE BLUE SHIELD |
200040948 | Other | WA | RR MEDICARE |
KQ803 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD00039855 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Orthopaedic Specialists, P.s. | 7113811654 | 80 |
Entity Name | Northwest Orthopaedic Specialists, P.s. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609845825 PECOS PAC ID: 7113811654 Enrollment ID: O20040213000370 |
Mailing Address | Practice Location Address |
---|---|
Tycho E Kersten, MD 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 Ph: (509) 344-2663 | Tycho E Kersten, MD 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 Ph: (509) 344-2663 |
Donald Scott Redman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-252-1977 Fax: 509-465-3026 | |
Miguel A Schmitz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave, Suite 365, Spokane, WA 99208 Phone: 509-435-0973 Fax: 509-435-0978 | |
Craig M Bone, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 E Rowan Ave, Suite 100, Spokane, WA 99207 Phone: 509-489-2851 Fax: 509-484-0103 | |
Dr. Robert James Stewart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 W 5th Ave Ste 400, Spokane, WA 99204 Phone: 509-344-2663 Fax: 509-624-9179 | |
Patrick S Lynch Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 W 5th Ave, Suite 400, Spokane, WA 99204 Phone: 509-344-2663 Fax: 509-624-9179 | |
Landon T Horne, M. D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 801 W 5th Ave, Suite 504, Spokane, WA 99204 Phone: 509-838-2531 | |
David F Scott, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 785 E Holland Ave, Spokane, WA 99218 Phone: 509-466-6393 Fax: 509-466-5163 |