| Madsen Family Medicine Pllc | |
|
9708 N Nevada St Ste 203 Spokane WA 99218-6004 | |
| (509) 863-9240 | |
| (509) 574-5863 |
| Full Name | Madsen Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9708 N Nevada St Ste 203, Spokane, Washington |
| Authorized Official Name and Position | Carolyn Madsen (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5092906557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madsen Family Medicine Pllc 9708 N Nevada St Ste 203 Spokane WA 99218-6004 Ph: (509) 863-9240 | Madsen Family Medicine Pllc 9708 N Nevada St Ste 203 Spokane WA 99218-6004 Ph: (509) 863-9240 |
| NPI Number | 1275866048 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 9234261470 |
|---|---|
| Medicare Enrollment ID | O20100723000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275866048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001511 (Washington) | Primary |
| Provider Name | Lon C Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558433052 PECOS PAC ID: 6709877244 Enrollment ID: I20040521001170 |
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