Jill A Dudik Bross, MD | |
615 S Division St, Moses Lake, WA 98837-3800 | |
(509) 766-9450 | |
(509) 766-1954 |
Full Name | Jill A Dudik Bross |
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Gender | Female |
Speciality | Pediatrics |
Location | 615 S Division St, 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 |
---|---|---|---|
1205837242 | NPI | - | NPPES |
1102730 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00025968 (Washington) | Primary |
Entity Name | Central Washington Health Services Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
Mailing Address | Practice Location Address |
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Jill A Dudik Bross, MD 615 S Division St, Moses Lake, WA 98837-3800 Ph: (509) 766-9450 | Jill A Dudik Bross, MD 615 S Division St, Moses Lake, WA 98837-3800 Ph: (509) 766-9450 |
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 | |
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 |