| Lisa Carol Ribera, PA-C | |
|
1701 N 13th St, Shelton, WA 98584-2077 | |
| (360) 426-2653 | |
| Not Available |
| Full Name | Lisa Carol Ribera |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1701 N 13th St, Shelton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922165513 | NPI | - | NPPES |
| PA10005025 | Other | WA | PA-C STATE LICENSE |
| 8477416 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10005025 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Carol Ribera, PA-C Po Box 1668, Shelton, WA 98584-5001 Ph: (360) 427-9549 | Lisa Carol Ribera, PA-C 1701 N 13th St, Shelton, WA 98584-2077 Ph: (360) 426-2653 |
Mark A. Flores, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 237 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 | |
Carley A Jacobs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2300 Kati Ct Ste A, Shelton, WA 98584 Phone: 360-426-0955 | |
Mr. Charles W Anderegg, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St Ste A, Shelton, WA 98584 Phone: 360-426-2653 | |
Anthony Gordon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St Ste 200, Shelton, WA 98584 Phone: 360-426-2653 | |
Mr. James Stauffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 | |
Ladd Douglas Rutherford Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 Fax: 888-985-0168 | |
Mathew Kummerfeldt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 Fax: 888-985-0681 |