| Mr Kenton Fritz, PA | |
|
120 Riverview Dr, Chehalis, WA 98532-9624 | |
| (360) 388-2623 | |
| Not Available |
| Full Name | Mr Kenton Fritz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 120 Riverview Dr, Chehalis, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508524018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 61237810 (Washington) | Primary |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447484274 PECOS PAC ID: 6608056171 Enrollment ID: O20130213000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenton Fritz, PA 120 Riverview Dr, Chehalis, WA 98532-9624 Ph: (360) 388-2623 | Mr Kenton Fritz, PA 120 Riverview Dr, Chehalis, WA 98532-9624 Ph: (360) 388-2623 |
Lisa A Mesaros, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 931 S Market Blvd, Pmg Sw Wa Chehalis Family Medicine, Chehalis, WA 98532 Phone: 360-767-6300 |
Ms. Susan Ruth Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 91 Sw Chehalis Ave Ste 101, Chehalis, WA 98532 Phone: 360-740-5181 Fax: 360-740-6007 |
Stephen R Fischer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9530 |
Nicholas Robert Lavigne, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 539 N Market Blvd Ste C, Chehalis, WA 98532 Phone: 540-203-8697 Fax: 270-203-0587 |
Mrs. Kathleen A Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1655 S Market Blvd Ste B, Chehalis, WA 98532 Phone: 866-599-3376 Fax: 503-362-8435 |
Mr. Brandon W Barker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1299 Bishop Rd, Chehalis, WA 98532 Phone: 360-748-0211 |
Joly Wu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4254 Jackson Hwy, Chehalis, WA 98532 Phone: 360-996-6603 Fax: 360-996-6604 |