| Michael J Frostad, MD | |
|
1205 Se Professional Mall Blvd, Suite104, Pullman, WA 99163-5423 | |
| (509) 332-2605 | |
| (509) 334-5754 |
| Full Name | Michael J Frostad |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1205 Se Professional Mall Blvd, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649253840 | NPI | - | NPPES |
| 8275828 | Medicaid | WA | |
| 1015364 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M-8243 (Idaho) | Secondary |
| 208000000X | Pediatrics | MD00039818 (Washington) | Primary |
| Entity Name | Public Hospital District #1-a Of Whitman County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
| Entity Name | Pullman Regional Hospital Clinic Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710218839 PECOS PAC ID: 4183753247 Enrollment ID: O20100527000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Frostad, MD 1205 Se Professional Mall Blvd, Suite104, Pullman, WA 99163-5423 Ph: (509) 332-2605 | Michael J Frostad, MD 1205 Se Professional Mall Blvd, Suite104, Pullman, WA 99163-5423 Ph: (509) 332-2605 |
Martha Hunt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Ne 1125 Washington St, Washington State University, Pullman, WA 99164 Phone: 509-335-3575 | |
Joseph O Aiyenowo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 | |
Kathryn Hryniewicz, Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163 Phone: 509-332-2605 | |
Jonathan Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163 Phone: 509-332-2605 | |
Lennis K Boyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-334-5754 | |
Mackenzie Claire Rinaldi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-715-2123 |