| Paul A Shoemaker, ARNP | |
|
4804 W Clearwater Ave, Kennewick, WA 99336-2119 | |
| (509) 946-4611 | |
| Not Available |
| Full Name | Paul A Shoemaker |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4804 W Clearwater Ave, Kennewick, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053654913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60896880 (Washington) | Primary |
| 163W00000X | Registered Nurse | RN60089738 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prosser Memorial Hospital | Prosser, WA | Hospital |
| Virginia Mason Memorial | Yakima, WA | Hospital |
| Astria Sunnyside Hospital | Sunnyside, WA | Hospital |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Derek S Weaver Do Pllc | 8123322716 | 7 |
| Multicare Health System | 7719899897 | 2296 |
| Kadlec Regional Medical Center | 9739098617 | 384 |
| Entity Name | Kadlec Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
| Entity Name | Derek S Weaver Do Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982081485 PECOS PAC ID: 8123322716 Enrollment ID: O20160202000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Shoemaker, ARNP 2935 Allen Rd, Sunnyside, WA 98944-8931 Ph: (509) 837-0070 | Paul A Shoemaker, ARNP 4804 W Clearwater Ave, Kennewick, WA 99336-2119 Ph: (509) 946-4611 |
Nichole Marie Green, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8656 W Gage Blvd Ste B203, Kennewick, WA 99336 Phone: 509-579-0109 Fax: 509-420-9851 | |
Mrs. Stacey Ann Deschamps, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 N Colorado St, Suite D, Kennewick, WA 99336 Phone: 509-735-8600 Fax: 509-783-7354 | |
Christine A Acker, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7201 W Grandridge Blvd, Suite 101, Kennewick, WA 99336 Phone: 509-735-2325 Fax: 509-735-3222 | |
Ms. Marylu Helen Vait, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8901 W Gage Blvd, Kennewick, WA 99336 Phone: 509-735-1100 Fax: 509-735-1180 | |
Debra K Macdonald, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 N Louisiana St # A737, Kennewick, WA 99336 Phone: 509-628-1958 Fax: 509-628-1959 | |
Mrs. Bernadette Marie Mcbride, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2621 W Entiat Ave, Kennewick, WA 99336 Phone: 509-460-0642 | |
Mandy Renee Schiefelbein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6710 W Okanogan Pl, Kennewick, WA 99336 Phone: 509-942-2528 Fax: 509-783-2008 |