| Samantha B Brunner, PA-C | |
|
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | |
| (509) 633-1911 | |
| (509) 633-3644 |
| Full Name | Samantha B Brunner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 411 Fortuyn Rd, Grand Coulee, 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 |
|---|---|---|---|
| 1639451750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA60233756 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA60233756 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Vancouver Clinic Inc Ps | 3173436490 | 512 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha B Brunner, PA-C 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911 | Samantha B Brunner, PA-C 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911 |
Ally A Webb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 | |
Mrs. Kathleen Christine Henry, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-1933 |