Bethany Ann Mulder (NPI# 1093176398, PAC ID# 3476846486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093176398 |
| PAC ID by PECOS | 3476846486 |
| Professional Enrollment ID | I20190822003209 |
| Full Name | Bethany Ann Mulder |
| Organization Legal Name | MOSES LAKE COMMUNITY HEALTH CENTER |
| Address |
605 S Coolidge St Suite 101 Moses Lake WA 98837-1893 |
| Phone Number | 5097650674 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 1254235138 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500003 | SKAGIT VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 | 5097650674 | MOSES LAKE COMMUNITY HEALTH CENTER |
| 1450 1st Ave Sw, Quincy, WA 98848-1695 | 5097876423 | MOSES LAKE COMMUNITY HEALTH CENTER |
| Organization Legal Name | MOSES LAKE COMMUNITY HEALTH CENTER |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Hardy | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Michael R Tolley | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Shawta Sackett | Nurse Practitioner | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Cameron M Beck | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Jill K Simon | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| James Eaton | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Mark Steven Edens | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Michael D Kirsch | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Stacy Dawn Purcell | Certified Nurse Midwife (cnm) | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Terri H Lewis | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Street Address |
605 S COOLIDGE ST SUITE 101 |
| City | MOSES LAKE |
| State | WA |
| Zip | 98837-1893 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Hardy | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Michael R Tolley | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Shawta Sackett | Nurse Practitioner | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Cameron M Beck | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Jill K Simon | Family Medicine | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| James Eaton | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Mark Steven Edens | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Michael D Kirsch | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Stacy Dawn Purcell | Certified Nurse Midwife (cnm) | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Terri H Lewis | Diagnostic Radiology | Moses Lake Community Health Center | 605 S Coolidge St, Suite 101, Moses Lake, WA 98837-1893 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay K Callarman | Podiatry | 830 Nw Sunburst Ct, Moses Lake, WA 98837-1425 | |
| Randy C Bruce | Physical Therapy | Moses Lake Sports Physical Therapy Ps | 515 N Stratford Rd, Moses Lake, WA 98837-1572 |
| Joshua L Bruce | Physical Therapy | Moses Lake Sports Physical Therapy Ps | 515 N Stratford Rd, Moses Lake, WA 98837-1572 |
| Stephen H Creviston | Optometry | Creviston and Pedersen LLC | 224 W Valley Rd, Moses Lake, WA 98837-1582 |
| Saul E Ribellia | Chiropractic | Family Lifestyle Chiropractic Pllc | 305 E Broadway Ave, Moses Lake, WA 98837-1719 |
| Richard Ribellia | Chiropractic | Family Lifestyle Chiropractic Pllc | 305 E Broadway Ave, Moses Lake, WA 98837-1719 |
| Lisha A Ribellia | Chiropractic | Family Lifestyle Chiropractic Pllc | 305 E Broadway Ave, Moses Lake, WA 98837-1719 |
| Patrick J Hickman | Chiropractic | 312 S Balsam St A, Moses Lake, WA 98837-1796 | |
| Kenneth B Lake | Certified Registered Nurse Anesthetist (crna) | Grant County Public Hospital District 1 | 801 E Wheeler Rd, Moses Lake, WA 98837-1820 |
| Lysa S Ward | Emergency Medicine | Grant County Public Hospital District 1 | 801 E Wheeler Rd, Moses Lake, WA 98837-1820 |
| Find all physicians in zip 98837 | |||
| City | MOSES LAKE |
| Zip Code | 98837 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MOSES LAKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bethany Ann Mulder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.