| Gilman Family Practice, Ps | |
|
1414 N Vercler Rd Ste 4 Spokane Valley WA 99216-1092 | |
| (509) 924-4681 | |
| (509) 922-7634 |
| Full Name | Gilman Family Practice, Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 1414 N Vercler Rd Ste 4, Spokane Valley, Washington |
| Authorized Official Name and Position | Bryce Hunter Gilman (PRESIDENT) |
| Authorized Official Contact | 5099244681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilman Family Practice, Ps 1414 N Vercler Rd Ste 4 Spokane Valley WA 99216-1092 Ph: (509) 924-4681 | Gilman Family Practice, Ps 1414 N Vercler Rd Ste 4 Spokane Valley WA 99216-1092 Ph: (509) 924-4681 |
| NPI Number | 1770631327 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 01/25/2022 |
| Medicare PECOS PAC ID | 9032007299 |
|---|---|
| Medicare Enrollment ID | O20040309000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770631327 | NPI | - | NPPES |
| 7049372 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bryce Hunter Gilman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730261785 PECOS PAC ID: 4486612405 Enrollment ID: I20080812000666 |
| Provider Name | Angel Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552518 PECOS PAC ID: 0143565077 Enrollment ID: I20181221001199 |
| Provider Name | Laurel Ann Dimler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386028942 PECOS PAC ID: 3779880265 Enrollment ID: I20190905003383 |
| Provider Name | Jennifer Michelle Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891409090 PECOS PAC ID: 5698149797 Enrollment ID: I20230313000344 |
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Providence Valley Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12509 E Mission Ave, Ste 102, Spokane Valley, WA 99216 Phone: 509-938-7100 | |
Chidi Family Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 521 N Argonne Rd Ste B101, Spokane Valley, WA 99212 Phone: 509-844-6550 | |
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