Dr Chad Richard Douglas, DO | |
12 S 8th St, Yakima, WA 98901-3020 | |
(509) 454-4143 | |
Not Available |
Full Name | Dr Chad Richard Douglas |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 12 S 8th St, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407199920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 1199 (Nebraska) | Secondary |
208000000X | Pediatrics | OP61034280 (Washington) | Primary |
Entity Name | Childrens Hospital Of The Kings Daughters Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578954590 PECOS PAC ID: 0941265284 Enrollment ID: O20150623001707 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Richard Douglas, DO Po Box 2605, Yakima, WA 98907-2605 Ph: (509) 454-4143 | Dr Chad Richard Douglas, DO 12 S 8th St, Yakima, WA 98901-3020 Ph: (509) 454-4143 |
Stephen J Pearson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1806 W Lincoln Ave, Yakima, WA 98902 Phone: 509-452-4520 Fax: 509-452-5224 | |
Dr. Elizabeth Lee Engelhardt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8026 Fax: 509-577-5061 | |
Diane Liebe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3801 Kern Way, Yakima, WA 98902 Phone: 509-574-3220 Fax: 509-574-3211 | |
Anna L Snyder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 402 S 12th Ave, Yakima, WA 98902 Phone: 509-575-0114 Fax: 509-575-0808 | |
Ms. Alexis R Beinlich, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Dr. David W Carlson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 314 S 11th Ave, Suite A, Yakima, WA 98902 Phone: 509-575-0114 Fax: 509-575-0808 | |
Dr. Stephanie Kalila Raghubeer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8452 |