Deborah A Fogg, NP | |
510 E Amende Dr, Odessa, WA 99159-7003 | |
(509) 982-2614 | |
(509) 982-2675 |
Full Name | Deborah A Fogg |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 510 E Amende Dr, Odessa, 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 |
---|---|---|---|
1558600015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN083436 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60749062 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Deaconess Medical Center | Spokane, WA | Hospital |
Multicare Valley Hospital | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spokane Emergency Care Physicians Pllc | 0143554600 | 51 |
Spokane Emergency Physicians Ps | 8527050731 | 35 |
Entity Name | Garfield County Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114028693 PECOS PAC ID: 2668360769 Enrollment ID: O20040309001450 |
Entity Name | Spokane Emergency Physicians Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235147117 PECOS PAC ID: 8527050731 Enrollment ID: O20040330001357 |
Entity Name | Spokane Emergency Care Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912564055 PECOS PAC ID: 0143554600 Enrollment ID: O20190703000905 |
Mailing Address | Practice Location Address |
---|---|
Deborah A Fogg, NP Po Box 368, Odessa, WA 99159-0368 Ph: (509) 982-2614 | Deborah A Fogg, NP 510 E Amende Dr, Odessa, WA 99159-7003 Ph: (509) 982-2614 |
Violet Frances Rice, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 | |
Laurie Susanne Edinger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 E Amende Dr, Odessa, WA 99159 Phone: 999-999-9999 | |
Daniel Glaze, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 |