| Eileen M Ravella, PA-C | |
|
413 Lilly Rd Ne, Providence St Peter Interventional Radiology, Olympia, WA 98506-5133 | |
| (360) 491-9480 | |
| Not Available |
| Full Name | Eileen M Ravella |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 413 Lilly Rd Ne, Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043237134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 502 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | PA10005223 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Northwest Physician Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275567919 PECOS PAC ID: 4183523806 Enrollment ID: O20031231000754 |
| Entity Name | Olympia Emergency Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346267796 PECOS PAC ID: 9335035633 Enrollment ID: O20040224000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen M Ravella, PA-C Po Box 3360, Portland, OR 97208-3360 Ph: (866) 747-2455 | Eileen M Ravella, PA-C 413 Lilly Rd Ne, Providence St Peter Interventional Radiology, Olympia, WA 98506-5133 Ph: (360) 491-9480 |
Mr. Joshua M Grant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 9th Ave Sw, Olympia, WA 98502 Phone: 360-491-8439 |
Ms. Cynthia Strohl Weissinger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Lilly Rd Ne Ste 200, Olympia, WA 98506 Phone: 253-968-4627 Fax: 253-968-3278 |
Mr. Anthony Cameron Montes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 |
Mr. Jonathan Daniel Clemons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste A, Olympia, WA 98502 Phone: 360-868-6259 Fax: 360-491-6328 |
Annelise Haft, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1620 Cooper Point Rd Sw, Olympia, WA 98502 Phone: 360-486-6710 Fax: 360-705-0269 |
Ms. Midge Miller Price, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 |
Samantha Moore, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8250 |