Catherine C Black, PA-C | |
808 Port Dr, Clarkston, WA 99403-6009 | |
(509) 455-8820 | |
(509) 838-4978 |
Full Name | Catherine C Black |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 21 Years |
Location | 808 Port Dr, Clarkston, 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 |
---|---|---|---|
1780613018 | NPI | - | NPPES |
0194214 | Other | WA | L&I |
8415937 | Medicaid | WA | |
500648665 | Medicaid | OR |
Facility Name | Location | Facility Type |
---|---|---|
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 8729258256 | 47 |
Mailing Address | Practice Location Address |
---|---|
Catherine C Black, PA-C Po Box 331, Liberty Lake, WA 99019-0331 Ph: (866) 747-2455 | Catherine C Black, PA-C 808 Port Dr, Clarkston, WA 99403-6009 Ph: (509) 455-8820 |
Mr. Tyler Lee Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1119 Highland Ave Ste 4, Clarkston, WA 99403 Phone: 509-254-0080 Fax: 509-254-0079 | |
Jacob I. Blazzard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1433 5th St, Clarkston, WA 99403 Phone: 509-758-5141 Fax: 509-758-5299 | |
Victoria Ozeran, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1119 Highland Ave Ste 11, Clarkston, WA 99403 Phone: 509-758-4450 |