| Dr Ponrat Pakpreo, MD | |
|
16528 E Desmet Ct Ste B-1000, Spokane Valley, WA 99216-3522 | |
| (509) 944-8860 | |
| (509) 944-8856 |
| Full Name | Dr Ponrat Pakpreo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 16528 E Desmet Ct Ste B-1000, 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 |
|---|---|---|---|
| 1023050200 | NPI | - | NPPES |
| 8468340 | Medicaid | WA | |
| 02689641 | Medicaid | NY | |
| AB32999 | Other | WA | MEDICARE GROUP |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ponrat Pakpreo, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 893-8140 | Dr Ponrat Pakpreo, MD 16528 E Desmet Ct Ste B-1000, Spokane Valley, WA 99216-3522 Ph: (509) 944-8860 |
Haley Wilkes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15812 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-444-8200 | |
Dr. Tamara L Simmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420 | |
Dr. Ann M Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420 | |
Anne Marie Mccarthy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler Rd Ste 1, Spokane Valley, WA 99216 Phone: 509-926-9420 | |
Dr. Bruce Abbotts, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420 | |
Dr. Cicely Wilhite White, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14402 E Sprague Ave, Spokane Valley, WA 99216 Phone: 509-922-2625 Fax: 509-922-4001 |