| Pioneer Family Medicine, Pllc | |
|
20 E J St Ste 2b Deer Park WA 99006-8500 | |
| (509) 999-2123 | |
| Not Available |
| Full Name | Pioneer Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 E J St Ste 2b, Deer Park, Washington |
| Authorized Official Name and Position | Leah G Kobes (PRESIDENT/MANAGER) |
| Authorized Official Contact | 5092768012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Family Medicine, Pllc Po Box 1988 Deer Park WA 99006-1988 Ph: (509) 276-8012 | Pioneer Family Medicine, Pllc 20 E J St Ste 2b Deer Park WA 99006-8500 Ph: (509) 999-2123 |
| NPI Number | 1063037034 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 07/14/2020 |
| Medicare PECOS PAC ID | 8729402664 |
|---|---|
| Medicare Enrollment ID | O20200723003290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063037034 | NPI | - | NPPES |
| 2061253 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Leah G Kobes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982050779 PECOS PAC ID: 5698009918 Enrollment ID: I20190620000911 |
| Provider Name | Pamela E Schultz-torosian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477084192 PECOS PAC ID: 2860877438 Enrollment ID: I20220917000529 |
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