| Heather Stout, | |
|
605 E Holland Ave Ste 101, Spokane, WA 99218-1246 | |
| (509) 838-2531 | |
| (509) 755-6580 |
| Full Name | Heather Stout |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 605 E Holland Ave Ste 101, Spokane, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891116216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60436631 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA60436631 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Holy Family Hospital | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physician Services P S Holy Emergency Center | 1052594314 | 22 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Emergency Physician Services P S Holy Emergency Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336445634 PECOS PAC ID: 1052594314 Enrollment ID: O20110323000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Stout, Po Box 3649, Spokane, WA 99220-3649 Ph: Not Available | Heather Stout, 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 Ph: (509) 838-2531 |
Jeffrey Hayward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5921 N Market St, Spokane, WA 99208 Phone: 509-444-8200 |
Ms. Katherine Nall Birrer, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-824-1686 |
Thomas D Dea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2460 |
Kevin Ryan Kellogg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 W 5th Ave Ste 400, Spokane, WA 99204 Phone: 509-252-3959 |
Kurt William Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 |
Nikolus Remington Richey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Spokane, WA 99205 Phone: 509-434-7000 Fax: 509-434-7130 |
Kristin Michele Treece, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-252-1977 Fax: 509-227-7070 |