| Tom J Koeske, MD | |
|
19 N 7th St, Cheney, WA 99004-2220 | |
| (509) 838-2531 | |
| Not Available |
| Full Name | Tom J Koeske |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 19 N 7th St, Cheney, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952393639 | NPI | - | NPPES |
| 8000663 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00024075 (Washington) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Tom J Koeske, MD Po Box 3649, Spokane, WA 99220-3649 Ph: (509) 838-2531 | Tom J Koeske, MD 19 N 7th St, Cheney, WA 99004-2220 Ph: (509) 838-2531 |
Cori R Lopez, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 N 7th Ave, Cheney, WA 99004 Phone: 509-838-2531 | |
Jonathan M Staben, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 N 7th St, Cheney, WA 99004 Phone: 509-838-2531 | |
Charles B Hough, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 19 N 7th St, Cheney, WA 99004 Phone: 509-838-2531 |