| Taylor J Broughton, PA-C | |
|
905 E D St, Deer Park, WA 99006-5167 | |
| (509) 276-5005 | |
| (509) 276-7785 |
| Full Name | Taylor J Broughton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 905 E D St, Deer Park, 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 |
|---|---|---|---|
| 1952758187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60685606 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health | Spokane valley, WA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Washington Pllc | 2264320837 | 73 |
| Entity Name | Privia Medical Group Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
| Entity Name | Deer Park Family Care Clinic PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294150 PECOS PAC ID: 1759271836 Enrollment ID: O20040319001408 |
| Entity Name | Dispatchhealth Washington PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013490507 PECOS PAC ID: 2062765423 Enrollment ID: O20181101000471 |
| Entity Name | Bastion Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750921193 PECOS PAC ID: 1557790896 Enrollment ID: O20200407002530 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor J Broughton, PA-C Po Box 1529, Deer Park, WA 99006-1529 Ph: (509) 276-5005 | Taylor J Broughton, PA-C 905 E D St, Deer Park, WA 99006-5167 Ph: (509) 276-5005 |
Kendahl Ann Ludiker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 E D St, Deer Park, WA 99006 Phone: 509-276-5005 |
Stephen M Laughlin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 702 S Park St, Deer Park, WA 99006 Phone: 509-262-9000 Fax: 509-276-3034 |
Brenda Kay Wilks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 East D Street, Deer Park, WA 99006 Phone: 509-276-5005 |
Mr. Joseph H Nadeau, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 E. J. Street, Deer Park, WA 99006 Phone: 509-755-5424 Fax: 509-755-5425 |