Kerry A Michaelis, | |
840 S Meyers St, Kettle Falls, WA 99141-7005 | |
(509) 685-7848 | |
(509) 684-5817 |
Full Name | Kerry A Michaelis |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 29 Years |
Location | 840 S Meyers St, Kettle Falls, 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 |
---|---|---|---|
1932285715 | NPI | - | NPPES |
294110 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
8014474 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA10004334 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Mount Carmel Hospital | Colville, WA | Hospital |
Providence Holy Family Hospital | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 0345139929 | 694 |
Mailing Address | Practice Location Address |
---|---|
Kerry A Michaelis, Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Kerry A Michaelis, 840 S Meyers St, Kettle Falls, WA 99141-7005 Ph: (509) 685-7848 |
Mr. Donald L Jackson, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-738-6607 Fax: 509-738-4180 | |
Steven Tingey, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-685-7848 |