| Stephanie M Fosback, MD | |
|
825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 | |
| (509) 332-2517 | |
| (509) 334-9247 |
| Full Name | Stephanie M Fosback |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 825 Se Bishop Blvd, Pullman, 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 |
|---|---|---|---|
| 1760591622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-10741 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | MD60022454 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Liberty lake, WA | Home health agency |
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Gritman Medical Center | Moscow, ID | Hospital |
| Aspen Park Of Cascadia | Moscow, ID | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Hospital District 1-a Of Whitman County | 8325934987 | 69 |
| 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 | Palouse Medical Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548299696 PECOS PAC ID: 7618863358 Enrollment ID: O20040227000496 |
| Entity Name | Public Hospital District #1-a Of Whitman County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie M Fosback, MD 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 Ph: (509) 332-2517 | Stephanie M Fosback, MD 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 Ph: (509) 332-2517 |
Benno J Mohr, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 | |
Dennis L Simpson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 | |
Justin Cochrane, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 130, Pullman, WA 99163 Phone: 509-338-0632 | |
Usha Nandhini, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 201, Pullman, WA 99163 Phone: 509-338-6000 | |
Vinod Chimanlal Mehta, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Se Bishop Blvd Ste 103, Pullman, WA 99163 Phone: 509-338-6000 | |
Selvasaravanakumar Navaneethakrishnanpoovana, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7300 |