| Dr Lisa P Maestas, DO | |
| 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 | |
| (509) 838-2531 | |
| (509) 755-6580 | 
| Full Name | Dr Lisa P Maestas | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Radiation Oncology | 
| Location | 12410 E Sinto Ave Ste B, Spokane Valley, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033114160 | NPI | - | NPPES | 
| 881327 | Other | NM | AHCCCS | 
| NM004A63 | Other | NM | BLUESHIELD/NM | 
| 10013148 | Other | NM | LOVELACE HEALTHPLAN | 
| 39626253 | Medicaid | NM | |
| 2222574 | Other | NM | FIRST HEALTH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | OP60455816 (Washington) | Primary | 
| Entity Name | Multicare Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lisa P Maestas, DO Po Box 3649, Spokane, WA 99220-3649 Ph: (509) 755-6580 | Dr Lisa P Maestas, DO 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 Ph: (509) 838-2531 | 
| Christopher Melvin Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1204 N Vercler Rd, Ste201, Spokane Valley, WA 99216 Phone: 509-228-1000 Fax: 509-252-9300 | |
| Michael F Kos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13424 E Mission Ave # A, Spokane Valley, WA 99216 Phone: 509-321-4980 Fax: 530-576-0364 | |
| Dr. Karie-lynn Janet Kelly, M.D.. F.R.C.P.C. Radiology Medicare: Accepting Medicare Assignments Practice Location: 13424 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-462-2273 | |
| John A. Shaw, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216 Phone: 509-838-2531 | |
| David E Davenport, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1204 N Vercler Rd, Ste 101, Spokane Valley, WA 99216 Phone: 509-228-1000 Fax: 509-252-9300 | |
| Wayne Tenney Lamoreaux, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216 Phone: 509-228-1000 Fax: 509-252-9300 |