Dr Shawn H Wilson, DO | |
110 S 9th Ave, Yakima, WA 98902-3315 | |
(509) 575-5061 | |
Not Available |
Full Name | Dr Shawn H Wilson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 110 S 9th Ave, 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 |
---|---|---|---|
1790794931 | NPI | - | NPPES |
212148 | Other | WA | LABOR & INDUSTRIES - YAKIMA LOCATION |
8461048 | Medicaid | WA | |
P00339532 | Other | WA | RAILROAD MEDICARE |
4141WI | Other | WA | BLUESHIELD - YAKIMA LOCATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OP00002116 (Washington) | Primary |
Entity Name | Washington Emergency Physician Partners Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635 |
Entity Name | Milroy Emergency Group A Professional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679037154 PECOS PAC ID: 5597006429 Enrollment ID: O20190403000343 |
Entity Name | Olney Emergency Group, A Professional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386108868 PECOS PAC ID: 8426399965 Enrollment ID: O20190409003071 |
Mailing Address | Practice Location Address |
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Dr Shawn H Wilson, DO 3916 State St, #300, Santa Barbara, CA 93105-5602 Ph: (800) 230-5160 | Dr Shawn H Wilson, DO 110 S 9th Ave, Yakima, WA 98902-3315 Ph: (509) 575-5061 |
David L Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Dr. Scott W Chapman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Nicholas Reiter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Craig W. Edgar, MD00041988 Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 Fax: 509-575-8745 | |
Dr. John Barlow Tanner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Dr. Faye Philomena Provenza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-575-5061 | |
Dr. Kristin Shnowske, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 |