Dr Thomas A Thorn, MD | |
821 E Broadway Ave Ste 1, Moses Lake, WA 98837-5934 | |
(509) 765-1602 | |
(509) 766-9778 |
Full Name | Dr Thomas A Thorn |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 821 E Broadway Ave Ste 1, Moses Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942248109 | NPI | - | NPPES |
1118850 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00039020 (Washington) | Primary |
Entity Name | Colville Nation Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043335961 PECOS PAC ID: 8820363716 Enrollment ID: O20180208001598 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas A Thorn, MD 821 E Broadway Ave Ste 1, Moses Lake, WA 98837-5934 Ph: (509) 765-1602 | Dr Thomas A Thorn, MD 821 E Broadway Ave Ste 1, Moses Lake, WA 98837-5934 Ph: (509) 765-1602 |
Casey Michelle Celerian, Family Medicine Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Matthew Hardy, M.S., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Dr. Micheal Ryan Tolley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Ed Hoover, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Dr. Kim Trong Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591 | |
Cameron M. Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591 | |
Jill Simon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 |