| Michael L Keith, ARNP | |
|
1315 N Division St, Spokane, WA 99202-1899 | |
| (509) 624-0908 | |
| (509) 459-0881 |
| Full Name | Michael L Keith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1315 N Division St, 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 |
|---|---|---|---|
| 1750333431 | NPI | - | NPPES |
| AP30004258 | Other | WA | NURSE PRACTITIONER |
| ARNP9181364 | Other | FL | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP 9181364 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | AP30004258 (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 |
| Entity Name | Cs Pacs 3 Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811752066 PECOS PAC ID: 8729526496 Enrollment ID: O20241011003807 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Keith, ARNP 1315 N Division St, Spokane, WA 99202-1899 Ph: (509) 624-0908 | Michael L Keith, ARNP 1315 N Division St, Spokane, WA 99202-1899 Ph: (509) 624-0908 |
Katie L Gomez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 W College Ave, Spokane, WA 99201 Phone: 509-324-1420 | |
Kristin Walters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave, Suite 450, Spokane, WA 99204 Phone: 509-455-8820 | |
Callie Rose Adams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 450, Spokane, WA 99204 Phone: 509-455-8820 Fax: 509-838-4978 | |
Anna Denton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W 2nd Ave, Spokane, WA 99201 Phone: 509-444-8200 Fax: 509-434-0392 | |
Michael Colver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806 | |
Heidi A Weitzel, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 | |
Julia Anne Platt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 817 S Perry St, Spokane, WA 99202 Phone: 509-444-8200 Fax: 509-434-0392 |