| Stephen R Fischer, PA-C | |
|
2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | |
| (360) 330-9595 | |
| (360) 330-9530 |
| Full Name | Stephen R Fischer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2690 Ne Kresky Ave, Chehalis, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083723746 | NPI | - | NPPES |
| 8341505 | Medicaid | WA | |
| 0131734 | Other | WA | LABOR & INDUSTRIES PROV # |
| F15902 | Other | WA | REGENCE PROVIDER # |
| 1090776 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10000445 (Washington) | Primary |
| Entity Name | Tumwater Family Practice Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881638559 PECOS PAC ID: 4587553268 Enrollment ID: O20040311000816 |
| Entity Name | Lewis County Community Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Fischer, PA-C 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 | Stephen R Fischer, PA-C 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 |
Lisa A Mesaros, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 931 S Market Blvd, Pmg Sw Wa Chehalis Family Medicine, Chehalis, WA 98532 Phone: 360-767-6300 |
Ms. Susan Ruth Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 91 Sw Chehalis Ave Ste 101, Chehalis, WA 98532 Phone: 360-740-5181 Fax: 360-740-6007 |
Nicholas Robert Lavigne, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 539 N Market Blvd Ste C, Chehalis, WA 98532 Phone: 540-203-8697 Fax: 270-203-0587 |
Mrs. Kathleen A Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1655 S Market Blvd Ste B, Chehalis, WA 98532 Phone: 866-599-3376 Fax: 503-362-8435 |
Mr. Kenton Fritz, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Riverview Dr, Chehalis, WA 98532 Phone: 360-388-2623 |
Mr. Brandon W Barker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1299 Bishop Rd, Chehalis, WA 98532 Phone: 360-748-0211 |
Joly Wu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4254 Jackson Hwy, Chehalis, WA 98532 Phone: 360-996-6603 Fax: 360-996-6604 |