| Jason Michael Van Gelder, PMHNP-BC | |
|
514 E Blackhawk Dr, Spokane, WA 99208-7562 | |
| (509) 863-5593 | |
| Not Available |
| Full Name | Jason Michael Van Gelder |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 514 E Blackhawk Dr, Spokane, 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 |
|---|---|---|---|
| 1861217077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61628632 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacwest Healthcare, Pllc | 5395199269 | 8 |
| Entity Name | Pacwest Healthcare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952093742 PECOS PAC ID: 5395199269 Enrollment ID: O20230926002769 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Michael Van Gelder, PMHNP-BC 514 E Blackhawk Dr, Spokane, WA 99208-7562 Ph: (509) 863-5593 | Jason Michael Van Gelder, PMHNP-BC 514 E Blackhawk Dr, Spokane, WA 99208-7562 Ph: (509) 863-5593 |
Katie L Gomez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 W College Ave, Spokane, WA 99201 Phone: 509-324-1420 | |
Kristin Walters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave, Suite 450, Spokane, WA 99204 Phone: 509-455-8820 | |
Callie Rose Adams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 450, Spokane, WA 99204 Phone: 509-455-8820 Fax: 509-838-4978 | |
Anna Denton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W 2nd Ave, Spokane, WA 99201 Phone: 509-444-8200 Fax: 509-434-0392 | |
Michael Colver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806 | |
Heidi A Weitzel, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 | |
Julia Anne Platt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 817 S Perry St, Spokane, WA 99202 Phone: 509-444-8200 Fax: 509-434-0392 |