| Ideal Option, PLLC | |
|
8508 W Gage Blvd Ste A101 Kennewick WA 99336 | |
| (877) 522-1275 | |
| (509) 491-3031 |
| Full Name | Ideal Option, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 8508 W Gage Blvd Ste A101, Kennewick, Washington |
| Authorized Official Name and Position | Brian Jefferson Dawson (MD, CMO) |
| Authorized Official Contact | 5092221275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Option, PLLC 500 Sw 7th St Ste A205 Renton WA 98057-2983 Ph: (877) 522-1275 | Ideal Option, PLLC 8508 W Gage Blvd Ste A101 Kennewick WA 99336 Ph: (877) 522-1275 |
| NPI Number | 1457788275 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 04/21/2026 |
| Certification Date | 04/21/2026 |
| Medicare PECOS PAC ID | 6709013105 |
|---|---|
| Medicare Enrollment ID | O20131210001184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457788275 | NPI | - | NPPES |
| 4243943 | Medicaid | MD | |
| 2031254 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD00046152 (Washington) | Primary |
| Provider Name | Howard L Leibrand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710914312 PECOS PAC ID: 6800788647 Enrollment ID: I20040326000948 |
| Provider Name | Richard Mattis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821040247 PECOS PAC ID: 7113964958 Enrollment ID: I20050413000155 |
| Provider Name | Brian Dawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871540435 PECOS PAC ID: 6800811993 Enrollment ID: I20051007000457 |
| Provider Name | Evening Glaser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932398260 PECOS PAC ID: 7719060839 Enrollment ID: I20080213000393 |
| Provider Name | Calista Comstock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720240401 PECOS PAC ID: 8729156658 Enrollment ID: I20081006000440 |
| Provider Name | Bernard Joseph Navarro Pulido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194930537 PECOS PAC ID: 7618016957 Enrollment ID: I20091130000528 |
| Provider Name | Michelle E Meako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043545254 PECOS PAC ID: 3678612751 Enrollment ID: I20091202000719 |
| Provider Name | Aaron Levin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851333769 PECOS PAC ID: 6406756253 Enrollment ID: I20101215000232 |
| Provider Name | Bryan Lee Blythe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366422602 PECOS PAC ID: 2860676525 Enrollment ID: I20130325000539 |
| Provider Name | James Peay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164869988 PECOS PAC ID: 2567605801 Enrollment ID: I20130905000348 |
| Provider Name | Susan Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740502616 PECOS PAC ID: 1153459458 Enrollment ID: I20140829001546 |
| Provider Name | Ellen K Kohler-krava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710390620 PECOS PAC ID: 3274752043 Enrollment ID: I20140910001928 |
| Provider Name | Sarah Pedersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023494226 PECOS PAC ID: 6608185335 Enrollment ID: I20151021000195 |
| Provider Name | Stephanie Margaret Bowdish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216045 PECOS PAC ID: 9032405725 Enrollment ID: I20160906002592 |
| Provider Name | Samantha Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629362207 PECOS PAC ID: 4284801770 Enrollment ID: I20170306001365 |
| Provider Name | Daniel L Goulette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285031872 PECOS PAC ID: 9830412501 Enrollment ID: I20170614001514 |
| Provider Name | Elisabeth Noel Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607664 PECOS PAC ID: 4587920871 Enrollment ID: I20171101002739 |
| Provider Name | Kelley Prado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962872937 PECOS PAC ID: 2769782234 Enrollment ID: I20171103002078 |
| Provider Name | Averil Mara True |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295252435 PECOS PAC ID: 6305104985 Enrollment ID: I20180103003007 |
| Provider Name | Marianne Hanna Wahba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073680146 PECOS PAC ID: 4284997602 Enrollment ID: I20180418001394 |
| Provider Name | Nathan Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184060980 PECOS PAC ID: 9133363070 Enrollment ID: I20180626000811 |
| Provider Name | Jade Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164836862 PECOS PAC ID: 7618196585 Enrollment ID: I20180801000684 |
| Provider Name | Kasin Mayne Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841710530 PECOS PAC ID: 0749554939 Enrollment ID: I20180904002288 |
| Provider Name | Jaclyn Kassen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538538707 PECOS PAC ID: 4789954421 Enrollment ID: I20190109003192 |
| Provider Name | Gurpreet Kaur Minhas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649765603 PECOS PAC ID: 8729324850 Enrollment ID: I20190110003171 |
| Provider Name | Todd Reuben Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760912182 PECOS PAC ID: 4082989215 Enrollment ID: I20190314000491 |
| Provider Name | Eric Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346756137 PECOS PAC ID: 9133469638 Enrollment ID: I20190320001190 |
| Provider Name | Lindsay Ann Corsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067613 PECOS PAC ID: 4587904826 Enrollment ID: I20190322001034 |
| Provider Name | Rachael Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356843361 PECOS PAC ID: 8527321157 Enrollment ID: I20190422002295 |
| Provider Name | Chloe Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053654541 PECOS PAC ID: 5597903419 Enrollment ID: I20190422002296 |
| Provider Name | Benjamin Rae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770051229 PECOS PAC ID: 5698017002 Enrollment ID: I20190506001672 |
| Provider Name | Rhonda Renee Woodside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215362546 PECOS PAC ID: 3779806484 Enrollment ID: I20190723001915 |
| Provider Name | Staci J Walner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669036976 PECOS PAC ID: 4880921717 Enrollment ID: I20190814003344 |
| Provider Name | Brittany Marie Czerna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427415835 PECOS PAC ID: 9335434885 Enrollment ID: I20190905003006 |
| Provider Name | Nicole Lee Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972084978 PECOS PAC ID: 5395099204 Enrollment ID: I20190912003159 |
| Provider Name | Carissa Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20191014001469 |
| Provider Name | Vern Andrus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134609035 PECOS PAC ID: 2769815372 Enrollment ID: I20191211002358 |
| Provider Name | Angela Cannady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639725245 PECOS PAC ID: 1052745593 Enrollment ID: I20191217000299 |
| Provider Name | Brittney Andrea Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437791662 PECOS PAC ID: 0143654111 Enrollment ID: I20191227001592 |
| Provider Name | Ka Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780946764 PECOS PAC ID: 2264680891 Enrollment ID: I20200403001874 |
| Provider Name | Susan Marvel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699257824 PECOS PAC ID: 7012347230 Enrollment ID: I20200430000843 |
| Provider Name | Karla Hennequin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841274248 PECOS PAC ID: 9133107840 Enrollment ID: I20200526000555 |
| Provider Name | Dorian Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356489041 PECOS PAC ID: 4587977780 Enrollment ID: I20200710001899 |
| Provider Name | Sheri Larue Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265806475 PECOS PAC ID: 0941507982 Enrollment ID: I20200831001927 |
| Provider Name | Heather Mcmanigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986560 PECOS PAC ID: 3072769967 Enrollment ID: I20200916001822 |
| Provider Name | Kristin Marie Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821521758 PECOS PAC ID: 7416351481 Enrollment ID: I20210812003099 |
| Provider Name | Joshua Morrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437823523 PECOS PAC ID: 7113322025 Enrollment ID: I20210816001969 |
| Provider Name | Penny R Buckland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194129411 PECOS PAC ID: 8628392917 Enrollment ID: I20211015002500 |
| Provider Name | Terra Ann Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730713348 PECOS PAC ID: 9436549409 Enrollment ID: I20211206002040 |
| Provider Name | Manpreet Kaur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912557968 PECOS PAC ID: 7618360280 Enrollment ID: I20220202001848 |
| Provider Name | Kelsey Goulette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184199804 PECOS PAC ID: 3577801620 Enrollment ID: I20220204001046 |
| Provider Name | Diana Marie Everly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396347035 PECOS PAC ID: 7911305768 Enrollment ID: I20220406001160 |
| Provider Name | Gregory Neal Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073500302 PECOS PAC ID: 5395775837 Enrollment ID: I20220421000973 |
| Provider Name | Reece Allawatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992192660 PECOS PAC ID: 6901285113 Enrollment ID: I20220617002267 |
| Provider Name | Mina Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124687157 PECOS PAC ID: 1850779224 Enrollment ID: I20220902001649 |
| Provider Name | Zoey Mckenna Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235796251 PECOS PAC ID: 5890171110 Enrollment ID: I20221010002048 |
| Provider Name | Kristi Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821507419 PECOS PAC ID: 6406193853 Enrollment ID: I20221111002008 |
| Provider Name | Courtney Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649933417 PECOS PAC ID: 7618367343 Enrollment ID: I20230203000813 |
| Provider Name | Heather Hillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750793055 PECOS PAC ID: 1355699653 Enrollment ID: I20230215001551 |
| Provider Name | Melissa Ann Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194223891 PECOS PAC ID: 8022378199 Enrollment ID: I20230228003078 |
| Provider Name | Heather Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790335297 PECOS PAC ID: 3072945724 Enrollment ID: I20230315001428 |
| Provider Name | Felix a Adeyemi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801089123 PECOS PAC ID: 6507018942 Enrollment ID: I20230315001459 |
| Provider Name | Laura a Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477703973 PECOS PAC ID: 5496947400 Enrollment ID: I20230316000522 |
| Provider Name | Brooke Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770185068 PECOS PAC ID: 7113339102 Enrollment ID: I20230316002184 |
| Provider Name | Tiffany Marie Noone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093314122 PECOS PAC ID: 6103237508 Enrollment ID: I20230517002985 |
| Provider Name | Dimsey Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437576469 PECOS PAC ID: 4688898679 Enrollment ID: I20230609002152 |
| Provider Name | Deni Mayliz Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760008940 PECOS PAC ID: 7315337474 Enrollment ID: I20230614002211 |
| Provider Name | Amanda Clemmons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437564408 PECOS PAC ID: 1052539160 Enrollment ID: I20230622000784 |
| Provider Name | Kesli Dickens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124501630 PECOS PAC ID: 2567891567 Enrollment ID: I20230707001274 |
| Provider Name | Patrick Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578283230 PECOS PAC ID: 4880062405 Enrollment ID: I20230714002537 |
| Provider Name | Sarah Kucera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972040103 PECOS PAC ID: 9133405103 Enrollment ID: I20230828002941 |
| Provider Name | Sarah Ann Henrichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831867399 PECOS PAC ID: 5496128381 Enrollment ID: I20231009003151 |
| Provider Name | Ty Bradford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053075077 PECOS PAC ID: 7012386717 Enrollment ID: I20231016000813 |
| Provider Name | Kellen Joseph Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629782511 PECOS PAC ID: 5698121978 Enrollment ID: I20231023001676 |
| Provider Name | Chanel Dominque Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346752151 PECOS PAC ID: 8325307879 Enrollment ID: I20231114003809 |
| Provider Name | Mark R Mencel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417257908 PECOS PAC ID: 2264687409 Enrollment ID: I20231205003430 |
| Provider Name | Sara R Fissel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821587478 PECOS PAC ID: 0941551196 Enrollment ID: I20231212001834 |
| Provider Name | Brittany Liane Zoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649052697 PECOS PAC ID: 3476903873 Enrollment ID: I20231227002903 |
| Provider Name | Amber Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164475 PECOS PAC ID: 1557722832 Enrollment ID: I20240108003631 |
| Provider Name | Sarah Annette Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619628336 PECOS PAC ID: 1850779851 Enrollment ID: I20240424002677 |
| Provider Name | Karsen Cullen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184496200 PECOS PAC ID: 5395189963 Enrollment ID: I20240522001055 |
| Provider Name | Alexandra Sather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952188757 PECOS PAC ID: 9537515408 Enrollment ID: I20240610003353 |
| Provider Name | Jenna Gilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679055057 PECOS PAC ID: 0446685234 Enrollment ID: I20240626004506 |
| Provider Name | Callie Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760755144 PECOS PAC ID: 0244492379 Enrollment ID: I20240710001681 |
| Provider Name | Kasey Brook Swiontek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467148494 PECOS PAC ID: 0547603458 Enrollment ID: I20240904003401 |
| Provider Name | Vallie Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376158501 PECOS PAC ID: 8628509932 Enrollment ID: I20240926003921 |
| Provider Name | Melissa Michele Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477798817 PECOS PAC ID: 6204992159 Enrollment ID: I20240927002046 |
| Provider Name | Ebony Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629531595 PECOS PAC ID: 2769894583 Enrollment ID: I20250409002573 |
| Provider Name | Michelle Gohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093345654 PECOS PAC ID: 9032546445 Enrollment ID: I20250926000958 |
| Provider Name | Zak Thatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154297760 PECOS PAC ID: 1355831272 Enrollment ID: I20251107002639 |
| Provider Name | Herman David Montoya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346973484 PECOS PAC ID: 9234578709 Enrollment ID: I20251203001956 |
| Provider Name | Sydney Buchli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962103234 PECOS PAC ID: 6204312473 Enrollment ID: I20260108000648 |
| Provider Name | Samantha Biser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861297756 PECOS PAC ID: 4789103367 Enrollment ID: I20260121003273 |
| Provider Name | Brittany Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326698689 PECOS PAC ID: 2567794258 Enrollment ID: I20260211002399 |
| Provider Name | Amanda Lauren Staggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427772714 PECOS PAC ID: 1658730494 Enrollment ID: I20260511003070 |
| Provider Name | Monika Dayal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043043300 PECOS PAC ID: 5698263846 Enrollment ID: I20260512001207 |
| Provider Name | Lavalda Beans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992587125 PECOS PAC ID: 1759733967 Enrollment ID: I20260519001111 |
| Provider Name | Elisabeth Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053878645 PECOS PAC ID: 1759851223 Enrollment ID: I20260526001934 |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 |
Larry W Loveridge, DMD, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1921 S Arthur St, Kennewick, WA 99338 Phone: 509-947-3862 Fax: 509-735-9885 |
Kadlec Regional Medical Center - Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 Phone: 509-942-2144 |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 |
Ppgwni Kennewick Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7426 W Bonnie Pl, Kennewick, WA 99336 Phone: 866-904-7721 Fax: 509-248-3644 |
Columbia River Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 N Colorado St, Suite D, Kennewick, WA 99336 Phone: 509-735-8600 Fax: 509-783-7354 |