| Ms Lindsay Lidia Nourse, PA-C | |
|
1620 Cooper Point Rd Sw, Olympia, WA 98502-5736 | |
| (360) 486-6710 | |
| (360) 705-0269 |
| Full Name | Ms Lindsay Lidia Nourse |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1620 Cooper Point Rd Sw, Olympia, 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 |
|---|---|---|---|
| 1568790384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60208834 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| David Penner Md Pllc | 6507246956 | 2 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
| Entity Name | David Penner MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407440001 PECOS PAC ID: 6507246956 Enrollment ID: O20240807004769 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lindsay Lidia Nourse, PA-C Po Box 3360, Portland, OR 97208-3360 Ph: Not Available | Ms Lindsay Lidia Nourse, PA-C 1620 Cooper Point Rd Sw, Olympia, WA 98502-5736 Ph: (360) 486-6710 |
Mr. Joshua M Grant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 9th Ave Sw, Olympia, WA 98502 Phone: 360-491-8439 |
Ms. Cynthia Strohl Weissinger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Lilly Rd Ne Ste 200, Olympia, WA 98506 Phone: 253-968-4627 Fax: 253-968-3278 |
Eileen M Ravella, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 413 Lilly Rd Ne, Providence St Peter Interventional Radiology, Olympia, WA 98506 Phone: 360-491-9480 |
Mr. Anthony Cameron Montes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 |
Mr. Jonathan Daniel Clemons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste A, Olympia, WA 98502 Phone: 360-868-6259 Fax: 360-491-6328 |
Annelise Haft, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1620 Cooper Point Rd Sw, Olympia, WA 98502 Phone: 360-486-6710 Fax: 360-705-0269 |
Ms. Midge Miller Price, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 |