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Zachary Corey Headman

Anesthesiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ZACHARY HEADMAN.

Based on the most recent information from CMS, provider Zachary Corey Headman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1528696176
Provider Type
Individual
Full Name
Headman, Zachary Corey
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
3/30/2020
Last Updated
7/16/2024

Contact Information

Practice Location

101 W 8th Ave, Spokane, WA 99204-2307

(509) 474-3181

Unlisted Fax

Mailing Location

PO Box 94645, Seattle, WA 98124-6945

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License OP61515832 Washington
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Zachary Corey Headman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Hadley, Kelsey

Sanders, Stacie

Kaneshige, Gary Donald

Nemri, Rahmi Samir

Murphy, Brian David

Burgan, Jeffrey

Fallon, Micheal J

Steinmetz, Mark

Aaron, Paul

Bettesworth, Jacob