Trace Julsen (NPI# 1962663898, PAC ID# 7618024779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962663898 |
| PAC ID by PECOS | 7618024779 |
| Professional Enrollment ID | I20100820000673 |
| Full Name | Trace Julsen |
| Organization Legal Name | WASHINGTON PAC SERVICES PC |
| Address |
2219 N 6th St Cheney WA 99004-2171 |
| Phone Number | 5092356196 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082986070 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500044 | DEACONESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2219 N 6th St, Cheney, WA 99004-2171 | 5092356196 | WASHINGTON PAC SERVICES PC |
| 12410 E Sinto Ave, Spokane, WA 99216-2258 | MULTICARE HEALTH SYSTEM | |
| 2214 E 29th Ave, Spokane, WA 99203-3939 | 5097555250 | MULTICARE HEALTH SYSTEM |
| 2214 E 29th Ave, Suite 100, Spokane, WA 99203-3939 | 5097244320 | MULTICARE HEALTH SYSTEM |
| 400 E 5th Ave, Spokane, WA 99202-1334 | MULTICARE HEALTH SYSTEM | |
| 14408 E Sprague Ave, Spokane Valley, WA 99216-2167 | 5097555712 | MULTICARE HEALTH SYSTEM |
| 1901 S Union Ave, Tacoma, WA 98405-1702 | MULTICARE HEALTH SYSTEM |
| Organization Legal Name | WASHINGTON PAC SERVICES PC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Stillwell | Nurse Practitioner | Washington Pac Services PC | 17121 E 8th Ave, Spokane Valley, WA 99016-8556 |
| Jennifer M Payette | Nurse Practitioner | Washington Pac Services PC | 14820 E 4th Ave, Spokane Valley, WA 99216-2165 |
| Wing Nga Yu | Nurse Practitioner | Washington Pac Services PC | 4430 Talbot Rd S, Renton, WA 98055-6218 |
| Madisen Claire Wallace | Nurse Practitioner | Washington Pac Services PC | 7411 N Nevada St, Spokane, WA 99208-5518 |
| Kurt D Fullmer | Physician Assistant | Washington Pac Services PC | 2219 N 6th St, Cheney, WA 99004-2171 |
| Laura Ndem Mbeseha | Nurse Practitioner | Washington Pac Services PC | 1919 112th St Sw, Everett, WA 98204-3784 |
| Kristin N Prey | Nurse Practitioner | Washington Pac Services PC | 1841 E Upriver Dr, Spokane, WA 99207-5164 |
| Kerri L Petersen | Nurse Practitioner | Washington Pac Services PC | 516 23rd Ave Se, Puyallup, WA 98372-4659 |
| Deborah R Davis | Nurse Practitioner | Washington Pac Services PC | 3600 E Hartson Ave, Spokane, WA 99202-5102 |
| Tiffany Hanf | Internal Medicine | Washington Pac Services PC | 1841 E Upriver Dr, Spokane, WA 99207-5164 |
| Street Address |
2219 N 6TH ST |
| City | CHENEY |
| State | WA |
| Zip | 99004-2171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt D Fullmer | Physician Assistant | Washington Pac Services PC | 2219 N 6th St, Cheney, WA 99004-2171 |
| Barbara L Herrbach-neder | Nurse Practitioner | Inpatient Consultants of California Inc | 2219 N 6th St, Cheney, WA 99004-2171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Freeland | Certified Nurse Midwife (cnm) | Community Health Association of Spokane | 1720 2nd St, Cheney, WA 99004-1910 |
| Katherine Longinotti | Nurse Practitioner | Community Health Association of Spokane | 1720 2nd St, Cheney, WA 99004-1910 |
| Dean R Cranney | Family Medicine | Community Health Association of Spokane | 1720 2nd St, Cheney, WA 99004-1910 |
| Brandie Tilch-bryant | Nurse Practitioner | Community Health Association of Spokane | 1720 2nd St, Cheney, WA 99004-1910 |
| Lance M Melin | Physician Assistant | Community Health Association of Spokane | 1720 2nd St, Cheney, WA 99004-1910 |
| Ryan D Clouse | Physical Therapy | Apex Physical Therapy Pllc | 1855 1st St, Cheney, WA 99004-1966 |
| Vincent F Piccolo | Physical Therapy | Apex Physical Therapy Pllc | 1855 1st St, Cheney, WA 99004-1966 |
| Griffon P Jones | Physical Therapy | Apex Physical Therapy Pllc | 1855 1st St, Cheney, WA 99004-1966 |
| Amy C Sanderson | Physical Therapy | Apex Physical Therapy Pllc | 1855 1st St, Cheney, WA 99004-1966 |
| Scott Edward Borgholthaus | Optometry | 1867 1st St, Vision Haus, Cheney, WA 99004-1967 | |
| Find all physicians in zip 99004 | |||
| City | CHENEY |
| Zip Code | 99004 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHENEY + FAMILY MEDICINE |
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| 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.