Bruce Wallace Ayres, MD | |
705 Gage Blvd, Suite 100, Richland, WA 99352-9716 | |
(509) 374-4400 | |
(509) 374-4440 |
Full Name | Bruce Wallace Ayres |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 705 Gage Blvd, Richland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962419473 | NPI | - | NPPES |
1120526 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD00043560 (Washington) | Primary |
Entity Name | Rcch Trios Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831682806 PECOS PAC ID: 5799035416 Enrollment ID: O20180830000618 |
Mailing Address | Practice Location Address |
---|---|
Bruce Wallace Ayres, MD 705 Gage Blvd, Suite 100, Richland, WA 99352-9716 Ph: (509) 374-4400 | Bruce Wallace Ayres, MD 705 Gage Blvd, Suite 100, Richland, WA 99352-9716 Ph: (509) 374-4400 |
Luay D Ailabouni, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive, 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352 Phone: 509-942-3185 Fax: 509-946-1850 | |
Dr. Jaewon Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2812 | |
Michael Vernon Parmley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2648 Fax: 509-942-2812 | |
Dr. Seth Lee Welborn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 099-422-0175 Fax: 509-942-2701 | |
Ruben Burbank, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 780 Swift Blvd Fl 1, Richland, WA 99352 Phone: 509-942-3288 Fax: 509-946-1850 | |
Philip G Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352 Phone: 509-942-3185 Fax: 509-946-1850 | |
John T Droesch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive, 2nd Floor, Richland, WA 99352 Phone: 509-942-3185 Fax: 509-946-1850 |