| Dr Jonathan Frank Kalisvaart, MD | |
|
101 W 8th Ave, Suite 100, Spokane, WA 99204-2307 | |
| (509) 624-3126 | |
| (509) 227-7070 |
| Full Name | Dr Jonathan Frank Kalisvaart |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 21 Years |
| Location | 101 W 8th Ave, Spokane, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013196864 | NPI | - | NPPES |
| 127902334A | Medicaid | WA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Medical Center | Spokane, WA | Hospital |
| Providence Holy Family Hospital | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 727 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Frank Kalisvaart, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Dr Jonathan Frank Kalisvaart, MD 101 W 8th Ave, Suite 100, Spokane, WA 99204-2307 Ph: (509) 624-3126 |
Michelle A Gupta, MD Urology Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave Ste 100, Spokane, WA 99204 Phone: 509-474-5489 Fax: 509-227-7070 | |
Dr. Carl J Walker, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave # 200, Spokane, WA 99202 Phone: 509-747-3147 | |
Evan Carlos, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave # 200, Spokane, WA 99202 Phone: 509-747-3147 | |
Duncan Sloan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave # 200, Spokane, WA 99202 Phone: 509-747-3147 | |
Dr. Thomas N Fairchild, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 820 S Mcclellan St, Suite 118, Spokane, WA 99204 Phone: 509-747-3147 Fax: 509-747-0020 | |
Dr. Bryan B Voelzke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave Ste 200, Spokane, WA 99202 Phone: 509-747-3147 |