Christie Ann Ceballos, PA-C is a medicare enrolled "Physician Assistant" in Liberty Lake, Washington. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Multicare Health System and her current practice location is
1429 N Liberty Lake Dr., Liberty Lake, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 530-5460.
Christie Ann Ceballos is licensed to practice in Washington (license number PA60546976) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356537989.
Provider's Profile
| Full Name | Christie Ann Ceballos |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 1429 N Liberty Lake Dr., Liberty Lake, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christie Ann Ceballos graduated from nursing school in 2007
NPI Data:
- NPI Number: 1356537989
- Provider Enumeration Date: 09/18/2007
- Last Update Date: 04/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375766702
- Enrollment ID: I20150729010025
Medical Identifiers
Medical identifiers for Christie Ann Ceballos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356537989 | NPI | - | NPPES |
| G8941441 | Other | WA | MEDICARE |
| 1356537989 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA19348 (California) | Secondary |
| 363A00000X | Physician Assistant | PA60546976 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Multicare Health System | 7719899897 | 1704 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christie Ann Ceballos is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christie Ann Ceballos, PA-C
1429 N Liberty Lake Dr.,
Liberty Lake, WA 99019
Ph: (509) 530-5460 | Christie Ann Ceballos, PA-C
1429 N Liberty Lake Dr.,
Liberty Lake, WA 99019
Ph: (509) 530-5460 |
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