| Scott T Weldon, PA | |
|
42 E Rowan Ave Ste A, Spokane, WA 99207-1212 | |
| (509) 483-3155 | |
| (509) 483-3270 |
| Full Name | Scott T Weldon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 42 E Rowan Ave Ste A, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831287564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60490220 (Washington) | Primary |
| 363A00000X | Physician Assistant | 2059-023 (Wisconsin) | Secondary |
| Entity Name | Northside Family Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750855276 PECOS PAC ID: 1456684299 Enrollment ID: O20190610001624 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott T Weldon, PA 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 Ph: (509) 483-3155 | Scott T Weldon, PA 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 Ph: (509) 483-3155 |
Jeffrey Hayward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5921 N Market St, Spokane, WA 99208 Phone: 509-444-8200 |
Ms. Katherine Nall Birrer, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-824-1686 |
Thomas D Dea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2460 |
Kevin Ryan Kellogg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 W 5th Ave Ste 400, Spokane, WA 99204 Phone: 509-252-3959 |
Kurt William Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 |
Nikolus Remington Richey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Spokane, WA 99205 Phone: 509-434-7000 Fax: 509-434-7130 |
Kristin Michele Treece, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-252-1977 Fax: 509-227-7070 |