| Keng Moua, PA-C | |
|
615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 | |
| (360) 491-4211 | |
| (360) 493-0407 |
| Full Name | Keng Moua |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 615 Lilly Rd Ne Ste 100, Olympia, 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 |
|---|---|---|---|
| 1639802135 | NPI | - | NPPES |
| 2289590 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1519 |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Olympia Orthopaedic Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083785398 PECOS PAC ID: 2365337508 Enrollment ID: O20040217001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Keng Moua, PA-C Po Box 368, Olympia, WA 98507-0368 Ph: (360) 491-8439 | Keng Moua, PA-C 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 Ph: (360) 491-4211 |
Mr. Joshua M Grant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 9th Ave Sw, Olympia, WA 98502 Phone: 360-491-8439 |
Ms. Cynthia Strohl Weissinger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Lilly Rd Ne Ste 200, Olympia, WA 98506 Phone: 253-968-4627 Fax: 253-968-3278 |
Eileen M Ravella, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 413 Lilly Rd Ne, Providence St Peter Interventional Radiology, Olympia, WA 98506 Phone: 360-491-9480 |
Mr. Anthony Cameron Montes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 |
Mr. Jonathan Daniel Clemons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste A, Olympia, WA 98502 Phone: 360-868-6259 Fax: 360-491-6328 |
Annelise Haft, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1620 Cooper Point Rd Sw, Olympia, WA 98502 Phone: 360-486-6710 Fax: 360-705-0269 |
Ms. Midge Miller Price, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 |