| Robert W Mikiska, PA-C | |
|
1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637 | |
| (509) 793-9790 | |
| (509) 764-3255 |
| Full Name | Robert W Mikiska |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | 1550 S Pioneer Way Ste 100, Moses Lake, 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 |
|---|---|---|---|
| 1659383842 | NPI | - | NPPES |
| 8324220 | Medicaid | WA | |
| 1659383842 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003227 (Washington) | Primary |
| 207P00000X | Emergency Medicine | PA10003227 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 778 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Entity Name | Express Care Wa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821554452 PECOS PAC ID: 6800128067 Enrollment ID: O20200221002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Mikiska, PA-C 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637 Ph: (509) 793-9790 | Robert W Mikiska, PA-C 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637 Ph: (509) 793-9790 |
Chloe Noel Kesterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 |
Joseph Hancock, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9789 Fax: 509-764-3266 |
Elizabeth Mcgraw, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18 Pelican Pl Ne, Moses Lake, WA 98837 Phone: 509-750-5843 |
Tracy L Estrellado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 |
Mr. Dennis Talbot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 746 N Doumit Dr, Moses Lake, WA 98837 Phone: 509-780-7279 |
Ms. Jennipher Colas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 |
Corbin Moberg, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-793-9785 Fax: 509-764-0344 |