Dr Derek Lane Prince, MD | |
101 W 8th Ave, Spokane, WA 99204-2307 | |
(509) 474-3131 | |
Not Available |
Full Name | Dr Derek Lane Prince |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 101 W 8th 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 |
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1376121541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | MD61544040 (Washington) | Primary |
Entity Name | Emergency Physician Services P S Holy Emergency Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336445634 PECOS PAC ID: 1052594314 Enrollment ID: O20110323000702 |
Mailing Address | Practice Location Address |
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Dr Derek Lane Prince, MD 1801 W 11th Ave, Spokane, WA 99204-4231 Ph: () - | Dr Derek Lane Prince, MD 101 W 8th Ave, Spokane, WA 99204-2307 Ph: (509) 474-3131 |
Dr. Brooks Thomas Laselle, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 253-217-3832 | |
Dr. Richard W Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-484-8069 Fax: 509-462-4086 | |
Lynn Bergman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood, Emergency Physicians Services, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
Mary Anna Chiu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
David S Mcclellan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 | |
Charles N. Roberts, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5633 N. Lidergerwood, Spokane, WA 99208 Phone: 509-482-0111 | |
Stephen Penaskovic, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 |