| Lisa Miner, PAC | |
|
565 Eureka Way, Sequim, WA 98382-5074 | |
| (360) 824-5474 | |
| (360) 994-4975 |
| Full Name | Lisa Miner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 565 Eureka Way, Sequim, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386692101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.PA.10004081 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olympic Medical Center | Port angeles, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silver Falls Dermatology Llc | 5890863492 | 100 |
| Entity Name | Silver Falls Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20140328000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Miner, PAC 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | Lisa Miner, PAC 565 Eureka Way, Sequim, WA 98382-5074 Ph: (360) 824-5474 |
Andrew W Lazos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 N 5th Ave Ste 101, Sequim, WA 98382 Phone: 360-565-0999 Fax: 360-582-4221 |
Mr. Elijah Shea Wendt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 N 5th Ave Ste 1500, Sequim, WA 98382 Phone: 360-565-0999 |
Meghan Evans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 N 5th Ave, Sequim, WA 98382 Phone: 360-683-5900 |
Gretchen T Wambach, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 565 Eureka Way, Sequim, WA 98382 Phone: 360-582-0808 Fax: 360-683-5678 |
David Alan Durkee, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 840 N 5th Ave Ste 1500, Sequim, WA 98382 Phone: 360-565-0999 Fax: 360-582-2841 |
J Charles Speed, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 N 5th Ave Ste 101, Sequim, WA 98382 Phone: 360-565-0999 Fax: 360-582-4221 |
Trevor Reid Jackman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 541 Eureka Way, Sequim, WA 98382 Phone: 360-582-0808 Fax: 360-682-2712 |