| Carrie Peacock, PA-C | |
|
820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 | |
| (509) 838-7100 | |
| (509) 227-7070 |
| Full Name | Carrie Peacock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 820 S Mcclellan St Ste 300, Spokane, 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 |
|---|---|---|---|
| 1912309295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60604817 (Washington) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Providence St Joseph Hospital | Chewelah, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 778 |
| 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 |
|---|---|
| Carrie Peacock, PA-C Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Carrie Peacock, PA-C 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 Ph: (509) 838-7100 |
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 |
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 |
Nikolus Remington Richey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Spokane, WA 99205 Phone: 509-434-7000 Fax: 509-434-7130 |