| Kittrick Kane, PAC | |
|
140 E Main St, Othello, WA 99344-1040 | |
| (509) 488-5256 | |
| (509) 488-9939 |
| Full Name | Kittrick Kane |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 140 E Main St, Othello, 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 |
|---|---|---|---|
| 1063897957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA60573984 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kadlec Regional Medical Center | 9739098617 | 402 |
| Entity Name | Kadlec Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Kittrick Kane, PAC 875 Swift Blvd, Ste A, Richland, WA 99352-3592 Ph: (509) 942-3627 | Kittrick Kane, PAC 140 E Main St, Othello, WA 99344-1040 Ph: (509) 488-5256 |
Prof. Robert Lee Mccrorie, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |
Ms. Melissa Alvarez, PA-C, PHARMD Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |
Annie M Coronado, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |
Melissa Troi Mateo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |
Kelsey Campbell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |
Luis Carlos Alcalde, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-5256 |
Matthew M Walker, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |