| Family Medicine Liberty Lake | |
|
2207 N Molter Rd Suite 203 Liberty Lake WA 99019-7570 | |
| (509) 928-6700 | |
| Not Available |
| Full Name | Family Medicine Liberty Lake |
|---|---|
| Speciality | Family Medicine |
| Location | 2207 N Molter Rd, Liberty Lake, Washington |
| Authorized Official Name and Position | Susan Lynn Ashley (OWNER) |
| Authorized Official Contact | 5097204050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Liberty Lake 2207 N Molter Rd Suite 203 Liberty Lake WA 99019-7570 Ph: (509) 928-6700 | Family Medicine Liberty Lake 2207 N Molter Rd Suite 203 Liberty Lake WA 99019-7570 Ph: (509) 928-6700 |
| NPI Number | 1790013175 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 04/30/2015 |
| Medicare PECOS PAC ID | 0143364851 |
|---|---|
| Medicare Enrollment ID | O20100218000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790013175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00028821 (Washington) | Primary |
| Provider Name | Susan L Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821188640 PECOS PAC ID: 7618992470 Enrollment ID: I20051011000312 |
| Provider Name | Neil E Golan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407969314 PECOS PAC ID: 9133254238 Enrollment ID: I20100315000616 |
| Provider Name | Tana L Vesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551516 PECOS PAC ID: 3274843776 Enrollment ID: I20160825002176 |
| Provider Name | Marnie Michelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891207197 PECOS PAC ID: 9739446022 Enrollment ID: I20171121002209 |
| Provider Name | Christina M Hatley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376178400 PECOS PAC ID: 7911311261 Enrollment ID: I20210127001585 |
| Provider Name | Samantha Sharon Anne Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548831217 PECOS PAC ID: 8426451774 Enrollment ID: I20210723000584 |
| Provider Name | Erin Jerde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750065462 PECOS PAC ID: 2365897162 Enrollment ID: I20231014000408 |
Keenan Milonas M.d. Professional Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 N Molter Rd Ste 100, Liberty Lake, WA 99019 Phone: 509-241-3541 Fax: 509-254-6117 | |
Liberty Lake Family & Sports Medicine, P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2207 N Molter Rd, Ste 101, Liberty Lake, WA 99019 Phone: 509-921-7755 | |
Gentiva Certified Healthcare Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22820 E Appleway Ave, Liberty Lake, WA 99019 Phone: 509-473-4900 | |
Jan Nelson Np-c, Dba, Balanced Wellness Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 N Stanford Ln, 101, Liberty Lake, WA 99019 Phone: 509-891-7119 | |
Liberty Lake Direct Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2207 N Molter Rd, Liberty Lake, WA 99019 Phone: 509-348-2214 | |
True Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 N Meadowwood Ln Ste 30, Liberty Lake, WA 99019 Phone: 509-990-9470 Fax: 509-255-7790 | |
Dgb Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019 Phone: 509-565-8803 Fax: 509-842-3057 |