| David Antonio Becerril, MD | |
|
1224 E Trent Ave, Spokane, WA 99202-2175 | |
| (509) 535-8510 | |
| (509) 535-1635 |
| Full Name | David Antonio Becerril |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1224 E Trent Ave, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902806771 | NPI | - | NPPES |
| 1075258 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00021300 (Washington) | Primary |
| 207Q00000X | Family Medicine | M-15965 (Idaho) | Secondary |
| Entity Name | Yakima Neighborhood Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750985727 PECOS PAC ID: 6709786585 Enrollment ID: O20040109000155 |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Entity Name | 600 Stewart Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487317954 PECOS PAC ID: 6608260534 Enrollment ID: O20220218001063 |
| Mailing Address | Practice Location Address |
|---|---|
| David Antonio Becerril, MD Po Box 2112, Coeur D Alene, ID 83816-2112 Ph: (509) 535-8510 | David Antonio Becerril, MD 1224 E Trent Ave, Spokane, WA 99202-2175 Ph: (509) 535-8510 |
Edward P. Brow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 W North River Dr, Spokane, WA 99201 Phone: 509-324-6464 | |
Dr. Arild Lein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Mission Ave, Spokane, WA 99201 Phone: 509-326-4343 | |
Mark Ashley Hart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 E Holland Ave, Spokane, WA 99218 Phone: 509-466-3960 Fax: 509-466-9566 | |
Kelly C. Grieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9911 N Nevada St, Spokane, WA 99218 Phone: 509-626-9420 Fax: 509-227-7070 | |
Mr. Philip Roger Henry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 42 E Rowan Ave, Suite A, Spokane, WA 99207 Phone: 509-483-3155 Fax: 509-483-3270 | |
Dr. Ryan Massoud, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070 | |
Mr. Edward P Gruber, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 829 W Broadway Ave, Spokane, WA 99201 Phone: 509-323-7600 Fax: 509-323-7602 |