| Heather N Davis-remacle, PA-C | |
|
825 Se Bishop Blvd, Ste 200, Pullman, WA 99163-5517 | |
| (509) 332-2517 | |
| (509) 334-9247 |
| Full Name | Heather N Davis-remacle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 825 Se Bishop Blvd, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518395763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1132 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA60427963 (Washington) | Primary |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040911000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather N Davis-remacle, PA-C 825 Se Bishop Blvd, Ste 200, Pullman, WA 99163-5517 Ph: (509) 332-2517 | Heather N Davis-remacle, PA-C 825 Se Bishop Blvd, Ste 200, Pullman, WA 99163-5517 Ph: (509) 332-2517 |
Taylor Ashley Menard, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 120, Pullman, WA 99163 Phone: 093-322-8285 |
Mrs. Joann M Tracy, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 915 Ne Valley Rd, Pullman, WA 99163 Phone: 509-332-3548 Fax: 509-332-5253 |
Dr. Joel W. Schwartzkopf, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Washington Building 642303, Pullman, WA 99164 Phone: 509-335-3575 |
Mr. Todd B Bledsoe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 |
Nicole Denise Rota, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1125 Se Washington St, Pullman, WA 99164 Phone: 509-335-3575 Fax: 509-335-8214 |
Timothy Eli Holmstrom, MS, PA-C, ATC, CSCS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 120, Pullman, WA 99163 Phone: 509-332-2828 Fax: 509-334-7474 |
Sue Y Cole, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 |