| Dr Michael J Reznicek, MD | |
|
1717 S Rustle Rd, Suite 212a, Spokane, WA 99224-2065 | |
| (509) 315-4142 | |
| (509) 242-0797 |
| Full Name | Dr Michael J Reznicek |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 40 Years |
| Location | 1717 S Rustle Rd, 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 |
|---|---|---|---|
| 1760568760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD00036953 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 727 |
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Providence Health And Services- Washington | 1557408176 | 177 |
| Providence Health And Services - Washington | 2860552973 | 223 |
| Providence Medical Institute | 5991609737 | 313 |
| Providence Health And Services Mt | 6608786306 | 293 |
| Providence Health And Services Washington | 6709782600 | 428 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| 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 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104097906 PECOS PAC ID: 0648183608 Enrollment ID: O20080630000201 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760425862 PECOS PAC ID: 5991609737 Enrollment ID: O20190109001974 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20190123001516 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215222617 PECOS PAC ID: 6608786306 Enrollment ID: O20190128001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael J Reznicek, MD 1717 S Rustle Rd, Suite 212a, Spokane, WA 99224-2065 Ph: (509) 315-4142 | Dr Michael J Reznicek, MD 1717 S Rustle Rd, Suite 212a, Spokane, WA 99224-2065 Ph: (509) 315-4142 |
Robert Leonard Mulvihill, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S. Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 | |
Dr. Jason Lamar Aldred, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 S Sherman St, Suite 201, Spokane, WA 99202 Phone: 509-458-7720 Fax: 509-777-0432 | |
Abdelrahman Fouad Ahmed Beltagy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-2894 Fax: 509-474-2895 | |
Hyung Uk Park, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9631 N Nevada St Ste 300, Spokane, WA 99218 Phone: 509-465-3919 | |
Laura C Moss, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-4818 | |
Thomas Stanley Beck Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 | |
Constance Corson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 |