Phedra C Moran, | |
105 W 8th Ave Ste 122c, Spokane, WA 99204-2302 | |
(509) 474-2894 | |
(509) 227-7070 |
Full Name | Phedra C Moran |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 105 W 8th Ave Ste 122c, Spokane, 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 |
---|---|---|---|
1538646252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60884563 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integra Imaging Ps | 1355593062 | 117 |
Inland Imaging Llc | 6608763016 | 117 |
Entity Name | Inland Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851352348 PECOS PAC ID: 6608763016 Enrollment ID: O20040301001171 |
Entity Name | Integra Imaging Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205189461 PECOS PAC ID: 1355593062 Enrollment ID: O20121204000044 |
Entity Name | Inland Imaging Associates Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982236469 PECOS PAC ID: 7810327210 Enrollment ID: O20200427002479 |
Mailing Address | Practice Location Address |
---|---|
Phedra C Moran, Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Phedra C Moran, 105 W 8th Ave Ste 122c, Spokane, WA 99204-2302 Ph: (509) 474-2894 |
Katie L Gomez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 W College Ave, Spokane, WA 99201 Phone: 509-324-1420 | |
Kristin Walters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave, Suite 450, Spokane, WA 99204 Phone: 509-455-8820 | |
Anna Denton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-0111 Fax: 509-482-2133 | |
Michael Colver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806 | |
Heidi A Weitzel, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 | |
Brittanee R Worthy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E Rowan Ave Ste 300, Spokane, WA 99207 Phone: 509-489-3554 Fax: 509-489-3558 | |
Diane C Beernink, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5921 M Market St, Spokane, WA 99208 Phone: 509-487-1604 Fax: 509-482-6286 |