| Laurel Stevens, MD | |
|
19 Southpoint Ln, Walla Walla, WA 99362-4175 | |
| (509) 525-3720 | |
| (509) 525-4691 |
| Full Name | Laurel Stevens |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 19 Southpoint Ln, Walla Walla, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912225160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD61083925 (Washington) | Secondary |
| 207N00000X | Dermatology | 131351 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Washington Pllc | 2264320837 | 59 |
| Entity Name | Privia Medical Group Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Stevens, MD 19 Southpoint Ln, Walla Walla, WA 99362-4175 Ph: (509) 525-3720 | Laurel Stevens, MD 19 Southpoint Ln, Walla Walla, WA 99362-4175 Ph: (509) 525-3720 |
Dr. David Panther, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Dr. Jeffrey C Stiles, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-525-4691 | |
Dr. Alexandria V Booth, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 19 Southpoint Ln, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 |