| Sierra Robertson, | |
|
401 W Poplar St, Walla Walla, WA 99362-2846 | |
| (509) 897-3320 | |
| Not Available |
| Full Name | Sierra Robertson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 401 W Poplar St, Walla Walla, 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 |
|---|---|---|---|
| 1457937724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.61129971 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Dayton General Hospital | Dayton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 266 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Robertson, 751 Grandview Ave, College Place, WA 99324-1436 Ph: (509) 200-7397 | Sierra Robertson, 401 W Poplar St, Walla Walla, WA 99362-2846 Ph: (509) 897-3320 |
Kenneth E Moore, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-200-2852 Fax: 509-522-5899 |
Stacey Renee Haveman, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 |
Douglas Edison West, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 W Poplar St, Ste 220, Walla Walla, WA 99362 Phone: 509-522-1030 Fax: 509-529-6066 |
Joshua Wicks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-522-5820 |
Joshua Modlin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-5820 Fax: 509-897-5570 |
Nancy Jean Rogers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Walla Walla, WA 99362 Phone: 509-897-2600 Fax: 509-897-5747 |
Megan Renee Freismidl Newcomb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 |