Providence Health & Services- Washington
A Medicare group practice based in Spokane, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9739236555), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9739236555
- Also listed as
- Providence Health and Services- Washington
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210503001878 | WA | Part B Supplier - Clinic/Group Practice | 1902497308 |
| O20201209000555 | WA | Part A Provider - Hospital | 1497752091 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Providence Health & Services- Washington
dba Providence St Lukes Rehabilitation Medical Center
- Rehabilitation Hospital
- Spokane, WA
- NPI 1497752091
-
Providence Health & Services- Washington
dba Providence St Lukes Rehabilitation Medical Center
- Rehabilitation Psychologist
- Spokane, WA
- NPI 1902497308
Practice locations
- Spokane, WA6
- Spokane Valley, WA2
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Alicia Faith Hegie
- Clinical Neuropsychologist
- Spokane, WA
- NPI 1508145731
-
Joy Rebecca White Martinez, PH.D.
- Rehabilitation Psychologist
- Spokane, WA
- NPI 1881685683
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.