Jared Rex Wortham, DO | |
1550 S Pioneer Way, Moses Lake, WA 98837-4613 | |
(509) 793-9787 | |
(509) 764-3263 |
Full Name | Jared Rex Wortham |
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Gender | Male |
Speciality | Pediatrics |
Location | 1550 S Pioneer Way, 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 |
---|---|---|---|
1902241235 | NPI | - | NPPES |
2253195 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | O-0924 (Idaho) | Secondary |
208000000X | Pediatrics | OP61442055 (Washington) | Primary |
Entity Name | Bmh Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
Mailing Address | Practice Location Address |
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Jared Rex Wortham, DO 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Jared Rex Wortham, DO 1550 S Pioneer Way, Moses Lake, WA 98837-4613 Ph: (509) 793-9787 |
Miss Carissa Lynn Armstrong, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Dr. Kriti Narwal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837 Phone: 509-793-9787 Fax: 509-764-3263 | |
Karl Christopher Kubo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 615 S Division St, Moses Lake, WA 98837 Phone: 509-766-9450 Fax: 509-766-1954 | |
Karen M Lindberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Marta A Beaubien, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Jill A Dudik Bross, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 S Division St, Moses Lake, WA 98837 Phone: 509-766-9450 Fax: 509-766-1954 | |
Sara Akhtar Ali, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837 Phone: 509-793-9787 Fax: 509-764-3263 |