Kimberlee Elizabeth Poole, | |
1550 S Pioneer Way Ste 200, Moses Lake, WA 98837-4614 | |
(509) 793-9787 | |
(509) 764-3263 |
Full Name | Kimberlee Elizabeth Poole |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1550 S Pioneer Way Ste 200, Moses Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275539256 | NPI | - | NPPES |
1275539256 | Medicaid | WA | |
0235658 | Other | WA | L&I |
314892 | Other | WA | L&I POST 7/21/13 |
P01256552 | Other | WA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP30006565 (Washington) | Primary |
Entity Name | Grant County Public Hospital District 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
Mailing Address | Practice Location Address |
---|---|
Kimberlee Elizabeth Poole, 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Kimberlee Elizabeth Poole, 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837-4614 Ph: (509) 793-9787 |
Shawta Sackett, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-764-0344 | |
Braeden R Cook, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Leona M Hays, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Coolidge Dr, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Charlene Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 Fax: 731-658-4079 | |
Ms. Ioly Tabita Lewis, PMHNP/ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Sheryl A Russell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 |