| Angela Denise Beauchamp, PA | |
|
1402 S Grand Blvd, Spokane, WA 99203-5001 | |
| (509) 455-8220 | |
| (509) 455-9172 |
| Full Name | Angela Denise Beauchamp |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1402 S Grand Blvd, 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 |
|---|---|---|---|
| 1275053514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60769549 (Washington) | Primary |
| 208000000X | Pediatrics | PA60769549 (Washington) | Secondary |
| 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 |
|---|---|
| Angela Denise Beauchamp, PA Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Angela Denise Beauchamp, PA 1402 S Grand Blvd, Spokane, WA 99203-5001 Ph: (509) 455-8220 |
Jeffrey Hayward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5921 N Market St, Spokane, WA 99208 Phone: 509-444-8200 |
Joseph Kreilkamp, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10414 W Highway 2 Ste 10, Spokane, WA 99224 Phone: 509-838-2531 Fax: 509-755-6580 |
Ms. Katherine Nall Birrer, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-824-1686 |
Thomas D Dea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2460 |
Caron M Cook, P.A, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave, Suite 440, Spokane, WA 99208 Phone: 509-489-2600 |
Kurt William Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 |
Daniel John Troupe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3002 E Mission Ave Spokane, Spokane, WA 99202 Phone: 509-444-8200 |