| Stacey Renee Haveman, PHYSICIAN ASSISTANT | |
|
55 W Tietan St, Walla Walla, WA 99362-4445 | |
| (509) 525-3720 | |
| (509) 522-1592 |
| Full Name | Stacey Renee Haveman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 55 W Tietan 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 |
|---|---|---|---|
| 1023309796 | NPI | - | NPPES |
| 03465758 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA60389054 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Washington Pllc | 2264320837 | 59 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Renee Haveman, PHYSICIAN ASSISTANT 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720 | Stacey Renee Haveman, PHYSICIAN ASSISTANT 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720 |
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 | |
Abigail Bradley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-5950 Fax: 509-879-5570 | |
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 | |
Alexis Ivy Weinrich, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1581 | |
Erin Nova Fletcher, PA STUDENT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 | |
Joshua Wicks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-522-5820 |