Dacotah J Spurgeon, MS PT, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Spokane, Washington. She went to University Of Washington School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Multicare Health System and her current practice location is
1114 W 20th Ave, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 230-3745.
Dacotah J Spurgeon is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902975097.
Healthcare Provider's Profile
| Full Name | Dacotah J Spurgeon |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 1114 W 20th Ave, Spokane, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dacotah J Spurgeon attended and graduated from University Of Washington School Of Medicine in 2019
NPI Data:
- NPI Number: 1902975097
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 09/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385540236
- Enrollment ID: I20200114003054
Medical Identifiers
Medical identifiers for Dacotah J Spurgeon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902975097 | NPI | - | NPPES |
| 172561 | Other | WA | LABOR AND INDUSTRY /L&I/ WASHINGTON STATE |
| 8362733 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT00009166 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Multicare Health System | 7719899897 | 1689 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dacotah J Spurgeon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dacotah J Spurgeon, MS PT, PA-C
1114 W 20th Ave,
Spokane, WA 99203-1147
Ph: (509) 230-3745 | Dacotah J Spurgeon, MS PT, PA-C
1114 W 20th Ave,
Spokane, WA 99203-1147
Ph: (509) 230-3745 |
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