| Selemani E Wambuzi, PA-C | |
|
601 Government Rd, Mattawa, WA 99349-5120 | |
| (509) 488-5256 | |
| (509) 488-9939 |
| Full Name | Selemani E Wambuzi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 601 Government Rd, Mattawa, 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 |
|---|---|---|---|
| 1659921302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA61127469 (Washington) | Primary |
| 207Q00000X | Family Medicine | ML70088355 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbia Basin Hospital | Ephrata, WA | Hospital |
| Othello Community Hospital | Othello, WA | Hospital |
| Columbia Basin Hospital | Ephrata, WA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grant County Public Hospital District No. 3 | 6709775166 | 68 |
| Grant County Public Hospital District No. 3 | 8325937675 | 19 |
| Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District | 9335050285 | 40 |
| Entity Name | Columbia Basin Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528316379 PECOS PAC ID: 4486564309 Enrollment ID: O20040209000250 |
| Entity Name | Grant County Public Hospital District No. 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134283930 PECOS PAC ID: 6709775166 Enrollment ID: O20040312001134 |
| Entity Name | Grant County Public Hospital District No. 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699839472 PECOS PAC ID: 8325937675 Enrollment ID: O20040313000538 |
| Entity Name | Adams County Public Hospital District 3 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811108822 PECOS PAC ID: 5092604801 Enrollment ID: O20110929000565 |
| Entity Name | Washington Pac Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336678168 PECOS PAC ID: 4082986070 Enrollment ID: O20170825002664 |
| Entity Name | Wa Pacs 2 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235 |
| Mailing Address | Practice Location Address |
|---|---|
| Selemani E Wambuzi, PA-C 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 | Selemani E Wambuzi, PA-C 601 Government Rd, Mattawa, WA 99349-5120 Ph: (509) 488-5256 |
Ms. Cheryl Marie Mielbrecht, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Government Road, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363 |
Geraldine Cabero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Government Way, Mattawa, WA 99349 Phone: 509-488-5256 Fax: 509-488-9939 |