| Timothy Mahnke, | |
|
1102 S Raymond Rd, Spokane Valley, WA 99206-3534 | |
| (509) 868-0876 | |
| (509) 352-6103 |
| Full Name | Timothy Mahnke |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1102 S Raymond Rd, Spokane Valley, 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 |
|---|---|---|---|
| 1477221000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61352338 (Washington) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA61352338 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington Pac Services Pc | 4082986070 | 43 |
| Harbor Youth And Family Counseling | 7012338981 | 32 |
| 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 |
| Entity Name | Harbor Youth and Family Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205466265 PECOS PAC ID: 7012338981 Enrollment ID: O20200601002016 |
| Entity Name | CS Pacs 3 Northwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811752066 PECOS PAC ID: 8729526496 Enrollment ID: O20241011003807 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Mahnke, Po Box 2586, Spokane, WA 99220-2586 Ph: Not Available | Timothy Mahnke, 1102 S Raymond Rd, Spokane Valley, WA 99206-3534 Ph: (509) 868-0876 |
Lila Anne Erickson, MSPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1502 N Vercler Rd, Spokane Valley, WA 99216 Phone: 509-444-8200 |
Martha Winje, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16528 Desmet Ct, Spokane Valley, WA 99216 Phone: 509-944-8910 |
Sandra M Dickey, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1215 N Mcdonald Rd, 202, Spokane Valley, WA 99216 Phone: 509-455-8820 Fax: 509-838-4978 |
Liberty L Hoffer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16528 Desmet Ct, Spokane Valley, WA 99216 Phone: 509-252-1900 |
Rachel Fernando, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10618 E Sprague Ave, Spokane Valley, WA 99206 Phone: 509-241-3327 Fax: 208-772-2313 |
David L Holden, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct # A1200, Spokane Valley, WA 99216 Phone: 509-944-8910 Fax: 509-944-8915 |
Robin Linetta Martin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1502 N Vercler Rd, Spokane Valley, WA 99216 Phone: 509-444-8200 Fax: 509-444-7806 |