Jonathan Carmen Panetta, | |
105 W 8th Ave, Spokane, WA 99204-2302 | |
(905) 992-1888 | |
Not Available |
Full Name | Jonathan Carmen Panetta |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 105 W 8th 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 |
---|---|---|---|
1285104885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60909970 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Joseph Hospital | Chewelah, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spokane Behavioral Health Llc | 2961757489 | 19 |
Entity Name | Spokane Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932698107 PECOS PAC ID: 2961757489 Enrollment ID: O20190117001282 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Carmen Panetta, 327 Hillcrest Ave, Erie, PA 16509-1512 Ph: (814) 323-5732 | Jonathan Carmen Panetta, 105 W 8th Ave, Spokane, WA 99204-2302 Ph: (905) 992-1888 |
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