| Kyle P Robles, PA-C | |
|
Po Box 421, Liberty Lake, WA 99019-0421 | |
| (509) 293-5421 | |
| (509) 227-7070 |
| Full Name | Kyle P Robles |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | Po Box 421, Liberty Lake, 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 |
|---|---|---|---|
| 1821645979 | NPI | - | NPPES |
| 2169874 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA61281714 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Providence Holy Family Hospital | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 778 |
| Entity Name | Doctors Clinic of Spokane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497760292 PECOS PAC ID: 0042108136 Enrollment ID: O20040309001369 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle P Robles, PA-C Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 489-3554 | Kyle P Robles, PA-C Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 293-5421 |
Mrs. Abby Mae Covillo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1326 N Stanford Ln, Liberty Lake, WA 99019 Phone: 509-755-6760 Fax: 509-755-6761 |
Christie Ann Ceballos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1429 N Liberty Lake Dr., Liberty Lake, WA 99019 Phone: 509-530-5460 Fax: 509-530-5477 |
Patrick C Peterson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1326 N Stanford Ln, Liberty Lake, WA 99019 Phone: 509-838-2531 |