| Michelle A Gupta, MD | |
|
101 W 8th Ave Ste 100, Spokane, WA 99204-2307 | |
| (509) 474-5489 | |
| (509) 227-7070 |
| Full Name | Michelle A Gupta |
|---|---|
| Gender | Female |
| Speciality | Urology - Pediatric Urology |
| Location | 101 W 8th Ave Ste 100, 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 |
|---|---|---|---|
| 1033343298 | NPI | - | NPPES |
| 003177886A | Medicaid | GA |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle A Gupta, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Michelle A Gupta, MD 101 W 8th Ave Ste 100, Spokane, WA 99204-2307 Ph: (509) 474-5489 |
Dr. Jonathan Frank Kalisvaart, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Suite 100, Spokane, WA 99204 Phone: 509-624-3126 Fax: 509-227-7070 | |
Dr. Carl J Walker, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave # 200, Spokane, WA 99202 Phone: 509-747-3147 | |
Evan Carlos, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave # 200, Spokane, WA 99202 Phone: 509-747-3147 | |
Duncan Sloan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave # 200, Spokane, WA 99202 Phone: 509-747-3147 | |
Dr. Thomas N Fairchild, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 820 S Mcclellan St, Suite 118, Spokane, WA 99204 Phone: 509-747-3147 Fax: 509-747-0020 | |
Dr. Bryan B Voelzke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 E Trent Ave Ste 200, Spokane, WA 99202 Phone: 509-747-3147 |