| Winston Chan, | |
|
101 W 8th Ave, L1 Ste 100, Spokane, WA 99204-2307 | |
| (509) 474-5445 | |
| Not Available |
| Full Name | Winston Chan |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 101 W 8th Ave, 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 |
|---|---|---|---|
| 1801855408 | NPI | - | NPPES |
| 020F361160 | Other | MI | BCBSM |
| 3374229 | Medicaid | MI | |
| MD60132177 | Other | WA | WA STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 4301070690 (Michigan) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | MD60132177 (Washington) | Primary |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Winston Chan, 101 W 8th Ave, L1 Ste 100, Spokane, WA 99204-2307 Ph: (509) 474-5445 | Winston Chan, 101 W 8th Ave, L1 Ste 100, Spokane, WA 99204-2307 Ph: (509) 474-5445 |
Michael Russell, Surgery Medicare: Medicare Enrolled Practice Location: 217 W Cataldo Ave Fl 3, Spokane, WA 99201 Phone: 509-747-6194 Fax: 509-227-7070 | |
Paul C Thorne, MD Surgery Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Ste 100, Spokane, WA 99204 Phone: 509-474-5445 Fax: 509-462-4086 | |
Mary Cristina Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 | |
Dr. Dara Heisler Christante, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 217 W Cataldo Ave Fl 3, Spokane, WA 99201 Phone: 509-624-2326 Fax: 509-252-2509 | |
Janet S Abadir, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 W 8th Ave, Ste 7010, Spokane, WA 99204 Phone: 509-747-6194 Fax: 509-838-0824 | |
Dr. Luke Xiaoli Zhan, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave, Suite 420, Spokane, WA 99204 Phone: 509-626-9440 Fax: 509-626-9475 | |
Ms. Michalina Kupsik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 S Sherman St, Spokane, WA 99202 Phone: 509-228-1000 Fax: 509-252-9300 |