Post Acute Medical Pllc | |
23402 43rd Ave E Spanaway WA 98387-6874 | |
(855) 722-9700 | |
(844) 222-0800 |
Full Name | Post Acute Medical Pllc |
---|---|
Speciality | Internal Medicine |
Location | 23402 43rd Ave E, Spanaway, Washington |
Authorized Official Name and Position | Johdvir Sarai (CEO) |
Authorized Official Contact | 3474321603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Post Acute Medical Pllc Po Box 73488 Puyallup WA 98373-0488 Ph: (855) 722-9700 | Post Acute Medical Pllc 23402 43rd Ave E Spanaway WA 98387-6874 Ph: (855) 722-9700 |
NPI Number | 1730713025 |
---|---|
Provider Enumeration Date | 02/26/2020 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 5193156115 |
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Medicare Enrollment ID | O20200507000939 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730713025 | NPI | - | NPPES |
2158331 | Medicaid | WA | |
114487400 | Medicaid | FL |
Provider Name | Rebecca G Gallaway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831181510 PECOS PAC ID: 5496735912 Enrollment ID: I20040723000750 |
Provider Name | Valeria Anne Siemion |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639151152 PECOS PAC ID: 2264494145 Enrollment ID: I20041102001064 |
Provider Name | Allen L Johnson |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1528035565 PECOS PAC ID: 7719925593 Enrollment ID: I20050421000972 |
Provider Name | Xin Wang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689671893 PECOS PAC ID: 6305816943 Enrollment ID: I20050518001103 |
Provider Name | Timothy H Troeh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326046400 PECOS PAC ID: 6901845007 Enrollment ID: I20060103000734 |
Provider Name | Laura E Keeter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962428631 PECOS PAC ID: 7416973185 Enrollment ID: I20070719000387 |
Provider Name | Amir M Aref |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063522126 PECOS PAC ID: 3971692427 Enrollment ID: I20071205000553 |
Provider Name | Julie A Kahnamoui |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497949457 PECOS PAC ID: 8123196870 Enrollment ID: I20081007000826 |
Provider Name | Gary G Gularte |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174665913 PECOS PAC ID: 1456413301 Enrollment ID: I20081231000119 |
Provider Name | Ursula Grayce Hein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326078411 PECOS PAC ID: 0446303101 Enrollment ID: I20090729000311 |
Provider Name | Ronald Schubert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801817465 PECOS PAC ID: 0749335552 Enrollment ID: I20090831000499 |
Provider Name | Masoud S Taleghani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114117330 PECOS PAC ID: 3375635550 Enrollment ID: I20091111000069 |
Provider Name | Patricia A. Faulkner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902909435 PECOS PAC ID: 0941302152 Enrollment ID: I20100630000837 |
Provider Name | Brandy Wiltermuth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285865402 PECOS PAC ID: 8426240870 Enrollment ID: I20120209000381 |
Provider Name | Leonico G Panlasigui |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063496958 PECOS PAC ID: 9335309020 Enrollment ID: I20120404000942 |
Provider Name | Haneen Aibak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932362076 PECOS PAC ID: 6103082458 Enrollment ID: I20120731000816 |
Provider Name | Brian F Haberbush |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861727356 PECOS PAC ID: 4981856119 Enrollment ID: I20121214000064 |
Provider Name | Valerie Jean Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730133638 PECOS PAC ID: 6204825490 Enrollment ID: I20131007000810 |
Provider Name | Nandi M Brumidge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932539137 PECOS PAC ID: 5698903276 Enrollment ID: I20140103000542 |
Provider Name | Lusana Schutz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1972731628 PECOS PAC ID: 7810152618 Enrollment ID: I20140120000588 |
Provider Name | Joseph C Denor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679548531 PECOS PAC ID: 5597774075 Enrollment ID: I20150616000000 |
Provider Name | Bobbi S Woodward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417350232 PECOS PAC ID: 8426373648 Enrollment ID: I20151007002704 |
Provider Name | Tamas Ungar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891040572 PECOS PAC ID: 2769792597 Enrollment ID: I20151106002373 |
Provider Name | John Ibarra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881606408 PECOS PAC ID: 2961407697 Enrollment ID: I20170222000552 |
Provider Name | Vladimir V Grib |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801332549 PECOS PAC ID: 3072897156 Enrollment ID: I20170309001788 |
Provider Name | Joshlene Sandhu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902841448 PECOS PAC ID: 4688690837 Enrollment ID: I20170320002160 |
Provider Name | Navdeep Dhaliwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477968337 PECOS PAC ID: 9830488071 Enrollment ID: I20170628002395 |
Provider Name | Nhi Nguyen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205247483 PECOS PAC ID: 1153696307 Enrollment ID: I20171013002276 |
Provider Name | Patricia Medina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215439922 PECOS PAC ID: 7618231127 Enrollment ID: I20180509002989 |
Provider Name | Ann Marie Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770095515 PECOS PAC ID: 7618235789 Enrollment ID: I20180622002444 |
Provider Name | Mary K Bulega-kasagga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811492440 PECOS PAC ID: 7113274630 Enrollment ID: I20180716000858 |
Provider Name | Andrea Catrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740763994 PECOS PAC ID: 7810233707 Enrollment ID: I20190114003332 |
Provider Name | Michelle Nicholine Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861969156 PECOS PAC ID: 1557609914 Enrollment ID: I20190208002408 |
Provider Name | Yukari Fletcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689160178 PECOS PAC ID: 8820336142 Enrollment ID: I20190212002680 |
Provider Name | Jodhvir Sarai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972816718 PECOS PAC ID: 8628202124 Enrollment ID: I20190403002163 |
Provider Name | Tyshayna Boggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538723507 PECOS PAC ID: 0042543605 Enrollment ID: I20190613001102 |
Provider Name | Nishita Bhumkar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922268176 PECOS PAC ID: 5890832356 Enrollment ID: I20190730003967 |
Provider Name | Paula Renee Schaefer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669966909 PECOS PAC ID: 5991034464 Enrollment ID: I20190909001712 |
Provider Name | Don Nguyen |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1720344617 PECOS PAC ID: 2567770282 Enrollment ID: I20190927003008 |
Provider Name | Wassan Singh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780141564 PECOS PAC ID: 5698006799 Enrollment ID: I20191003001586 |
Provider Name | Rijesh Raj Shrestha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316261670 PECOS PAC ID: 5890826721 Enrollment ID: I20191022001735 |
Provider Name | Salome Odja Dockendorf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003467127 PECOS PAC ID: 2264869098 Enrollment ID: I20200217002581 |
Provider Name | Joshua Njenga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871023002 PECOS PAC ID: 8729330931 Enrollment ID: I20200303001091 |
Provider Name | Jacinta Chinazor Maghiro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578123824 PECOS PAC ID: 9830527910 Enrollment ID: I20200324001890 |
Provider Name | Gibril Kargbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609386440 PECOS PAC ID: 7416214564 Enrollment ID: I20200324001967 |
Provider Name | Destiny Rose Lett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578021481 PECOS PAC ID: 7113357500 Enrollment ID: I20200427001750 |
Provider Name | Adenike A Oke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932742442 PECOS PAC ID: 2466883657 Enrollment ID: I20200501001957 |
Provider Name | Nikolous Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336676105 PECOS PAC ID: 6608207527 Enrollment ID: I20200510000250 |
Provider Name | Renee L Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154613941 PECOS PAC ID: 2961636881 Enrollment ID: I20200529000327 |
Provider Name | Lucy Wachuka Kamau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932728466 PECOS PAC ID: 7214359819 Enrollment ID: I20200629001747 |
Provider Name | Darnell Eugene Griffen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922404714 PECOS PAC ID: 7416374137 Enrollment ID: I20200826002744 |
Provider Name | Tess K Shepherd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558829879 PECOS PAC ID: 4688093560 Enrollment ID: I20200925001140 |
Provider Name | Jeanette Dressel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942265574 PECOS PAC ID: 9335184159 Enrollment ID: I20201111001658 |
Provider Name | Gabrielle C. Luzon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760014310 PECOS PAC ID: 7810308558 Enrollment ID: I20201201001515 |
Provider Name | Mi Thi Trieu Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801410675 PECOS PAC ID: 3476965260 Enrollment ID: I20201221000790 |
Provider Name | Yekaba K Ayelegne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396251518 PECOS PAC ID: 7012277783 Enrollment ID: I20210107001215 |
Provider Name | Matthew M Hesse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861008716 PECOS PAC ID: 6002220019 Enrollment ID: I20210203001908 |
Provider Name | Gregory Allen Kennebeck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871579847 PECOS PAC ID: 0143492413 Enrollment ID: I20210503002086 |
Provider Name | Erica Lynn Hommertzheim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265015341 PECOS PAC ID: 4789086067 Enrollment ID: I20210708002659 |
Provider Name | Adrienne Elizabeth Wohl Oliveira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942845052 PECOS PAC ID: 5092112292 Enrollment ID: I20210929003713 |
Provider Name | Jessica Wu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720740640 PECOS PAC ID: 4981092350 Enrollment ID: I20211104001212 |
Provider Name | Patrizia Vacca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407425085 PECOS PAC ID: 5092105247 Enrollment ID: I20211202002711 |
Provider Name | Sheryll Anne Agbayani Nueva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659036572 PECOS PAC ID: 4587058730 Enrollment ID: I20220303002074 |
Provider Name | Neel Ramesh Chheda |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336678382 PECOS PAC ID: 0143574707 Enrollment ID: I20220413000739 |
Provider Name | Noor Amro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801402169 PECOS PAC ID: 8729469291 Enrollment ID: I20220714001691 |
Provider Name | Nicholas Peter Goodman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487217345 PECOS PAC ID: 9032440029 Enrollment ID: I20220804003045 |
Provider Name | Robert J Wamukoya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558007930 PECOS PAC ID: 8729463625 Enrollment ID: I20220913002460 |
Provider Name | Victoria P Gandia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225521867 PECOS PAC ID: 0547505448 Enrollment ID: I20220920003381 |
Provider Name | Debra Nicholls |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730770579 PECOS PAC ID: 1052797677 Enrollment ID: I20221005003060 |
Provider Name | Jessica Lee Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306565957 PECOS PAC ID: 6608243696 Enrollment ID: I20221103002704 |
Provider Name | Lindsey Ann Wolf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518621051 PECOS PAC ID: 9739579137 Enrollment ID: I20221206001925 |
Provider Name | Siew Yeng Chai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295339042 PECOS PAC ID: 8527437763 Enrollment ID: I20221212000500 |
Provider Name | Tiffany Raney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497483804 PECOS PAC ID: 5597134528 Enrollment ID: I20221213002129 |
Provider Name | Sarah Faye Curde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306493341 PECOS PAC ID: 9234509134 Enrollment ID: I20230111001048 |
Provider Name | Aarati Ghimire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053991950 PECOS PAC ID: 0941671317 Enrollment ID: I20230123000366 |
Provider Name | Joshua Garrett Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063126282 PECOS PAC ID: 2163893447 Enrollment ID: I20230124002801 |
Provider Name | Patricia Chu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639704224 PECOS PAC ID: 7810352606 Enrollment ID: I20230501001246 |
Provider Name | Suzanne Michele Lysobey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750093175 PECOS PAC ID: 9537526736 Enrollment ID: I20230602001348 |
Provider Name | Dominic Kenyanya Keya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851858641 PECOS PAC ID: 7911367206 Enrollment ID: I20230718003391 |
Provider Name | Wai Kwan Kam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730868076 PECOS PAC ID: 1850753815 Enrollment ID: I20230808003996 |
Provider Name | Mellissa Sue Ivy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730815960 PECOS PAC ID: 0648649152 Enrollment ID: I20230825002529 |
Provider Name | Pauline Cn Vintapatr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326799388 PECOS PAC ID: 5597128173 Enrollment ID: I20230830000614 |
Provider Name | Marilou D Mote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356048300 PECOS PAC ID: 8426411059 Enrollment ID: I20230830002402 |
Provider Name | Patricia Bhama |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871838797 PECOS PAC ID: 0042439135 Enrollment ID: I20231002000956 |
Provider Name | Jiyoung Cha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922612738 PECOS PAC ID: 2567819519 Enrollment ID: I20231113001946 |
Provider Name | Angela Patricia Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255066726 PECOS PAC ID: 7214384031 Enrollment ID: I20231115002250 |
Provider Name | Rhonda Kay Johannsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346929098 PECOS PAC ID: 3274982533 Enrollment ID: I20231212001301 |
Provider Name | Laisa Rozul |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235903592 PECOS PAC ID: 8921457235 Enrollment ID: I20231212003191 |
Provider Name | Soheila Saghari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235811415 PECOS PAC ID: 3577913227 Enrollment ID: I20231221002023 |
Provider Name | Benedict Mark M Bunal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508580119 PECOS PAC ID: 9032569587 Enrollment ID: I20231222002866 |
Provider Name | Sheena Marie M Villaroman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124707716 PECOS PAC ID: 0648620872 Enrollment ID: I20231229001052 |
Provider Name | Rajwinder Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306451232 PECOS PAC ID: 2567812712 Enrollment ID: I20231229001426 |
Provider Name | Martin Richard Frank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033458724 PECOS PAC ID: 9638520133 Enrollment ID: I20240109003543 |
Provider Name | Doyinsola M Lamidi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033995568 PECOS PAC ID: 1355793282 Enrollment ID: I20240117000179 |
Provider Name | Erin Renae Swint |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629849666 PECOS PAC ID: 1254770209 Enrollment ID: I20240423003937 |
Provider Name | Ashley Lynne Pribble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851016745 PECOS PAC ID: 6901273424 Enrollment ID: I20240425002756 |
Provider Name | Kathryn Emilia Dupre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528667144 PECOS PAC ID: 5597107540 Enrollment ID: I20240522003696 |
Provider Name | Nakita Akil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316487549 PECOS PAC ID: 1254506751 Enrollment ID: I20240523000836 |
Provider Name | Cesar Salmasan Macadangdang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538940069 PECOS PAC ID: 3173965589 Enrollment ID: I20240530000416 |
S.f. Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 169th St S Ste A, Spanaway, WA 98387 Phone: 253-536-2824 Fax: 253-536-3070 | |
Fmg-franciscan Medical Clinic - Spanaway Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 169th St S, Ste A, Spanaway, WA 98387 Phone: 253-536-2824 Fax: 253-536-3070 | |
Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22001 38th Ave E Rm 111, Spanaway, WA 98387 Phone: 253-597-4550 | |
Spanaway Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 134 188th St S, Spanaway, WA 98387 Phone: 253-847-2304 Fax: 253-597-4556 | |
Community Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22001 38th Ave E Rm 111, Spanaway, WA 98387 Phone: 253-597-4550 | |
Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21818 38th Ave E, Spanaway, WA 98387 Phone: 253-597-4550 |