| Douglas Edison West, PAC | |
|
301 W Poplar St, Ste 220, Walla Walla, WA 99362-2858 | |
| (509) 522-1030 | |
| (509) 529-6066 |
| Full Name | Douglas Edison West |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 301 W Poplar St, Walla Walla, 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 |
|---|---|---|---|
| 1104884295 | NPI | - | NPPES |
| 806824800 | Medicaid | ID | |
| 8377525 | Medicaid | WA | |
| 500604784 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003131 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Holy Family Hospital | Spokane, WA | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 687 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Edison West, PAC Po Box 32, Liberty Lake, WA 99019-0032 Ph: (509) 529-8905 | Douglas Edison West, PAC 301 W Poplar St, Ste 220, Walla Walla, WA 99362-2858 Ph: (509) 522-1030 |
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 | |
Abigail Bradley, Physician Assistant Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-5950 Fax: 509-879-5570 | |
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 | |
Alexis Ivy Weinrich, Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1581 | |
Erin Nova Fletcher, PA STUDENT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 | |
Joshua Wicks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-522-5820 |