Beverly Khodra, | |
6351 W Rio Grande Ave, Kennewick, WA 99336-7634 | |
(509) 543-9280 | |
(509) 579-5915 |
Full Name | Beverly Khodra |
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Gender | Female |
Speciality | Family Medicine |
Location | 6351 W Rio Grande Ave, Kennewick, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205499308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD61224464 (Washington) | Primary |
Entity Name | Yakima Valley Farm Workers Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
Mailing Address | Practice Location Address |
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Beverly Khodra, Po Box 190, Toppenish, WA 98948-0190 Ph: (509) 865-2395 | Beverly Khodra, 6351 W Rio Grande Ave, Kennewick, WA 99336-7634 Ph: (509) 543-9280 |
Sarah Ashley Mun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 S Auburn St, Kennewick, WA 99336 Phone: 509-547-2204 | |
Zena Kuseybi, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7426 W Bonnie Pl, Kennewick, WA 99336 Phone: 509-783-5059 Fax: 509-736-1168 | |
Maria Aleli Tabio Ello, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W. 27th Ave., Suite 301, Kennewick, WA 99336 Phone: 509-222-2240 Fax: 509-222-2239 | |
Ryan Thomas Burk, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9040 W Clearwater Ave, Kennewick, WA 99336 Phone: 509-942-3291 Fax: 509-783-6827 | |
Stephanie L. Wheeler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3180 W Clearwater Ave Ste A, Kennewick, WA 99336 Phone: 509-547-2204 | |
Sheila K Dunlop, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7201 W Grandridge Blvd, Suite 101, Kennewick, WA 99336 Phone: 509-735-2325 Fax: 509-735-3222 | |
Jennifer Follwell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 N Young St, Kennewick, WA 99336 Phone: 509-221-5222 Fax: 509-221-5271 |