| Timothy Payne, PA | |
|
1000 Wallace Way, Grandview, WA 98930-8805 | |
| (509) 882-3444 | |
| (509) 882-2049 |
| Full Name | Timothy Payne |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1000 Wallace Way, Grandview, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558457754 | NPI | - | NPPES |
| 8401655 | Medicaid | WA | |
| 127586 | Other | WA | L & I |
| 9022 | Other | GROUP HEALTH | |
| PA6393 | Other | REGENCE | |
| 8401655 | Other | WA | CHPW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10000956 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Payne, PA Po Box 190, Toppenish, WA 98948-0190 Ph: (509) 865-6715 | Timothy Payne, PA 1000 Wallace Way, Grandview, WA 98930-8805 Ph: (509) 882-3444 |
Miguel Alexander Faria Muscatello, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 | |
Mrs. Aysha Paxman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 | |
Susan K Bussert, Physician Assistant Medicare: Medicare Enrolled Practice Location: 222 E 2nd St, Grandview, WA 98930 Phone: 509-882-3500 Fax: 509-882-2392 | |
Brianne Johnson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 Fax: 509-882-1097 | |
Mr. Jeffrey Kim Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 Fax: 509-882-1097 | |
Mathew Schneider, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 Fax: 509-882-1097 |