Dr Benjamin Rader, DO | |
1615 Delaware St, Longview, WA 98632 | |
(360) 636-4830 | |
Not Available |
Full Name | Dr Benjamin Rader |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1615 Delaware St, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639461478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OP60464353 (Washington) | Primary |
Entity Name | The Vancouver Clinic Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952483653 PECOS PAC ID: 4981592144 Enrollment ID: O20040309000490 |
Entity Name | Northwest Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Mailing Address | Practice Location Address |
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Dr Benjamin Rader, DO 9801 Nw 31st Ave, Vancouver, WA 98665-6132 Ph: (541) 760-7963 | Dr Benjamin Rader, DO 1615 Delaware St, Longview, WA 98632 Ph: (360) 636-4830 |
John Y Kim, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4831 | |
Brian Hoyt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Dr. Ryan Michael Caulfield, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4830 | |
Dr. Rusty Wes Gust, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Aftab A Awan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Paul A Schneider, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Gary Elliot Penner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 |