| Kurt D Fullmer, PA-C | |
|
406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 | |
| (509) 489-4040 | |
| (509) 489-9190 |
| Full Name | Kurt D Fullmer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 406 E Rowan Ave, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235215856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10002270 (Washington) | Primary |
| Entity Name | Washington Pac Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336678168 PECOS PAC ID: 4082986070 Enrollment ID: O20170825002664 |
| Entity Name | Wa Pacs 2 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235 |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt D Fullmer, PA-C 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 Ph: (509) 489-4040 | Kurt D Fullmer, PA-C 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 Ph: (509) 489-4040 |
Jeffrey Hayward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5921 N Market St, Spokane, WA 99208 Phone: 509-444-8200 |
Ms. Katherine Nall Birrer, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-824-1686 |
Thomas D Dea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2460 |
Kevin Ryan Kellogg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 W 5th Ave Ste 400, Spokane, WA 99204 Phone: 509-252-3959 |
Kurt William Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 |
Nikolus Remington Richey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Spokane, WA 99205 Phone: 509-434-7000 Fax: 509-434-7130 |
Kristin Michele Treece, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-252-1977 Fax: 509-227-7070 |