Jared L Wutzke, MD | |
401 W Poplar St, Psmmc Er, Walla Walla, WA 99362-2846 | |
(509) 522-5802 | |
(509) 522-5541 |
Full Name | Jared L Wutzke |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 401 W Poplar St, Walla Walla, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225238207 | NPI | - | NPPES |
500626093 | Medicaid | OR | |
1225238207 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD60141552 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Mary Medical Center | Walla walla, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services - Washington | 2860552973 | 228 |
Entity Name | Providence Health & Services - Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
Mailing Address | Practice Location Address |
---|---|
Jared L Wutzke, MD Po Box 34439, Seattle, WA 98124-1439 Ph: () - | Jared L Wutzke, MD 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362-2846 Ph: (509) 522-5802 |
Dr. Philip A Green, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362 Phone: 509-522-5802 Fax: 509-522-5541 | |
Shirley Robin Vonhaven, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 W Poplar, Walla Walla, WA 99362 Phone: 509-522-5802 Fax: 509-522-5950 | |
Dr. Morgan C Galante, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-897-3700 | |
Joilo Barbosa, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 E Main St # 268, Walla Walla, WA 99362 Phone: 509-529-2966 | |
Aaron B Jones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Emergency Department, Walla Walla, WA 99362 Phone: 509-525-3320 | |
Eric Trent Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362 Phone: 509-522-5802 Fax: 509-522-5541 |