| Jack Hostetler, | |
|
1200 W Fairview St, Colfax, WA 99111-9552 | |
| (509) 397-3435 | |
| Not Available |
| Full Name | Jack Hostetler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1200 W Fairview St, Colfax, 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 |
|---|---|---|---|
| 1659259638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Whitman Hospital And Medical Center | Colfax, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Hospital District No 3 Of Whitman County | 7719875020 | 18 |
| Entity Name | Public Hospital District No 3 of Whitman County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922009448 PECOS PAC ID: 7719875020 Enrollment ID: O20040309000090 |
| Entity Name | Public Hospital District No 3 of Whitman County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1922009448 PECOS PAC ID: 7719875020 Enrollment ID: O20080212000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Hostetler, Po Box 172, Oakesdale, WA 99158-0172 Ph: Not Available | Jack Hostetler, 1200 W Fairview St, Colfax, WA 99111-9552 Ph: (509) 397-3435 |
Morganne Hamann, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 |
Ms. Raylene Lawrence, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 Fax: 509-397-3501 |