| Deiter Michael Kaizer, PA-C | |
|
134 188th St S, Spanaway, WA 98387-4618 | |
| (253) 847-8856 | |
| Not Available |
| Full Name | Deiter Michael Kaizer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 134 188th St S, Spanaway, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558540385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9116089 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA10005325 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital - Venice | North venice, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smh Physician Services Inc | 1355240177 | 781 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Deiter Michael Kaizer, PA-C 101 E 26th St, Tacoma, WA 98421-1108 Ph: (253) 597-4550 | Deiter Michael Kaizer, PA-C 134 188th St S, Spanaway, WA 98387-4618 Ph: (253) 847-8856 |
Miss Amber Elaine Deck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20307 67th Ave E, Spanaway, WA 98387 Phone: 253-222-0334 |
Roger Leon Ball, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 176th St S, Spanaway, WA 98387 Phone: 253-459-7770 |
Roberta Sue Yoshimura, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 134 188th St S, Spanaway, WA 98387 Phone: 253-847-2304 Fax: 253-847-2304 |
Kelsey Wardlow, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 188th St S, Spanaway, WA 98387 Phone: 253-847-2304 |