| Candice Ketelsen, PA | |
|
2500 W A St Ste 101, Moscow, ID 83843-6000 | |
| (208) 882-0540 | |
| (208) 883-1853 |
| Full Name | Candice Ketelsen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2500 W A St Ste 101, Moscow, Idaho |
| 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 |
|---|---|---|---|
| 1073040515 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gritman Medical Center | Moscow, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gritman Medical Center Inc | 0941545784 | 20 |
| Catalyst Medical Group Pllc | 2365722105 | 37 |
| Gritman Medical Center Inc | 4981984390 | 20 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Ketelsen, PA 611 N Iron Bridge Way, Spokane, WA 99202-4932 Ph: (509) 444-8888 | Candice Ketelsen, PA 2500 W A St Ste 101, Moscow, ID 83843-6000 Ph: (208) 882-0540 |
Kara Michelle Adams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 Fax: 208-883-1853 | |
James Hebrlee Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 719 S. Mailn St, Moscow, ID 83843 Phone: 208-848-8300 Fax: 208-882-5587 | |
Wendy Monique Goodrich, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Mr. Michael Lounsbury, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 318 N Lincoln St, Moscow, ID 83843 Phone: 208-827-6127 | |
Carolyn Jean Shoemaker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 719 S Main St, Moscow, ID 83843 Phone: 208-883-1152 | |
Dennis Falen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 509-444-8888 Fax: 509-444-7806 |