| Jeffery L Liles, MD | |
|
9001 N Country Homes Blvd, Spokane, WA 99218-2072 | |
| (833) 411-5469 | |
| (855) 459-3020 |
| Full Name | Jeffery L Liles |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 9001 N Country Homes Blvd, 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 |
|---|---|---|---|
| 1669427449 | NPI | - | NPPES |
| 1040281 | Medicaid | WA | |
| 806734200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-8894 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | MD00042522 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery L Liles, MD 9001 N Country Homes Blvd, Spokane, WA 99218-2072 Ph: (833) 411-5469 | Jeffery L Liles, MD 9001 N Country Homes Blvd, Spokane, WA 99218-2072 Ph: (833) 411-5469 |
Ms. Deirdre Marie Mooney, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave Ste 450, Spokane, WA 99204 Phone: 509-455-8820 | |
Dr. Rebecca Raluca Teona Muntean, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 S Mcclellan St, Suite 200, Spokane, WA 99204 Phone: 509-747-1144 Fax: 509-455-4166 | |
Laura Darlene Dewald, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-626-9900 | |
Dr. Arnold L Klipstein, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 W 5th Ave Ste 309, Spokane, WA 99204 Phone: 509-838-2531 Fax: 509-755-6580 | |
Dr. Joseph W Davis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 104 W 5th Ave Ste 200w, Spokane, WA 99204 Phone: 509-744-3750 Fax: 509-744-3969 | |
Jeffrey Todd Kilcup, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 Fax: 509-626-9917 | |
John G Peterson, MD, FACC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave, Suite 240, Spokane, WA 99208 Phone: 509-455-8820 Fax: 509-838-4978 |