Dr Gregory Howard Cain, MD | |
1400 Pottery Ave, Port Orchard, WA 98366-3711 | |
(360) 895-5000 | |
Not Available |
Full Name | Dr Gregory Howard Cain |
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Gender | Male |
Speciality | Pediatrics |
Location | 1400 Pottery Ave, Port Orchard, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154395085 | NPI | - | NPPES |
1016674 | Medicaid | WA | |
129302 | Other | WA | LABOR AND INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00020681 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
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Dr Gregory Howard Cain, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000 | Dr Gregory Howard Cain, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000 |
Dr. Brian Joey Que, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 | |
Catherine Cogley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd Ste 230, Port Orchard, WA 98366 Phone: 360-895-0216 Fax: 360-895-7919 | |
Clement Phuong Nguyen Le Thanh, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 S Kitsap Blvd, Port Orchard, WA 98366 Phone: 360-876-7215 | |
Mrs. Tasia Nicole Hulst, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 450 S Kitsap Blvd Ste 250, Port Orchard, WA 98366 Phone: 360-782-3000 Fax: 360-782-3040 | |
Pninit Varol, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 |