| Jo Prophet, ARNP | |
|
314 Basin St Sw, Ephrata, WA 98823-1850 | |
| (509) 663-8711 | |
| Not Available |
| Full Name | Jo Prophet |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 314 Basin St Sw, Ephrata, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184047508 | NPI | - | NPPES |
| G8970847 | Other | WA | WVH MEDICARE PTAN |
| 1184047508 | Medicaid | WA | |
| G8970848 | Other | WA | WVH MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60427511 (Washington) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Prophet, ARNP 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Jo Prophet, ARNP 314 Basin St Sw, Ephrata, WA 98823-1850 Ph: (509) 663-8711 |
Ms. Tamra D Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Basin St Sw, Ephrata, WA 98823 Phone: 509-663-8711 | |
Miss Lisa Kristine Corsie, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-3330 Fax: 509-754-2351 | |
Meagan Ann Caldwell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-3330 | |
Steven J Stokes, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 68 L St Ne, Ephrata, WA 98823 Phone: 509-753-3151 | |
Nadine Strand Mahler, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-3330 Fax: 509-754-4809 | |
Timothy L Crouch, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-4631 Fax: 509-754-6569 |