| Corey Carson, PA | |
|
301 W Poplar St, Walla Walla, WA 99362-2858 | |
| (509) 897-8959 | |
| Not Available |
| Full Name | Corey Carson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 301 W Poplar St, Walla Walla, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497254635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60824929 (Washington) | Primary |
| Entity Name | Choice Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275057655 PECOS PAC ID: 7618243510 Enrollment ID: O20171020000898 |
| Entity Name | F&m Healthcare, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861145120 PECOS PAC ID: 8628462983 Enrollment ID: O20220302001375 |
| Entity Name | Apex Spine Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154081446 PECOS PAC ID: 3779979125 Enrollment ID: O20220412000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Carson, PA 301 W Poplar St Ste 220, Walla Walla, WA 99362-2800 Ph: (509) 897-8959 | Corey Carson, PA 301 W Poplar St, Walla Walla, WA 99362-2858 Ph: (509) 897-8959 |
Kenneth E Moore, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-200-2852 Fax: 509-522-5899 |
Stacey Renee Haveman, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 |
Douglas Edison West, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 W Poplar St, Ste 220, Walla Walla, WA 99362 Phone: 509-522-1030 Fax: 509-529-6066 |
Joshua Wicks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-522-5820 |
Nancy Jean Rogers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Walla Walla, WA 99362 Phone: 509-897-2600 Fax: 509-897-5747 |
Megan Renee Freismidl Newcomb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 |
Kate Hogan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 |