Individual ProviderStacie SandersAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address104 West 5th Ave, Suite 230e, Spokane, WA 99204-2483(509) 838-8828(509) 474-3131PECOS EnrollmentBased on the most recent information from CMS, provider Stacie Sanders is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1518972470Provider TypeIndividualFull NameSanders, StacieTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/29/2006Last Updated9/24/2015Contact InformationPractice LocationPractice Address104 West 5th Ave, Suite 230e, Spokane, WA 99204-2483Phone(509) 838-8828Fax(509) 835-4058Mailing LocationMailing AddressPO Box 94645, Seattle, WA 98124-6945Phone(509) 474-3131FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseMD00042423WashingtonProvider IdentifiersIDDescriptionIssuerID8372641DescriptionMedicaidIssuerUnlistedWashington