Dr R Scott Kennedy, MD | |
939 Caroline St, Port Angeles, WA 98362-3909 | |
(360) 417-8670 | |
Not Available |
Full Name | Dr R Scott Kennedy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 939 Caroline St, Port Angeles, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447228960 | NPI | - | NPPES |
1110KE | Other | REGENCE BLUE SHIELD RIDER | |
1073410 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00023094 (Washington) | Primary |
Entity Name | Olympic Medical Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246 |
Mailing Address | Practice Location Address |
---|---|
Dr R Scott Kennedy, MD 939 Caroline St, Port Angeles, WA 98362-3909 Ph: (360) 417-8670 | Dr R Scott Kennedy, MD 939 Caroline St, Port Angeles, WA 98362-3909 Ph: (360) 417-8670 |
Dr. Robert Lynn Lewis, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 224 Scenic View Ln, Port Angeles, WA 98362 Phone: 360-417-5625 | |
Danielle Holley Whitley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 Fax: 360-452-5772 | |
Dr. Stephen Churchley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. Alexa Ann Yager, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. John Whiting Sisson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 Fax: 360-565-9241 | |
Gregory J Harrah, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7724 Fax: 360-452-5772 |