Jillian Lee Thayer, MD | |
3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 | |
(267) 441-4583 | |
Not Available |
Full Name | Jillian Lee Thayer |
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Gender | Female |
Speciality | Surgery |
Location | 3730 Plaza Way Fl 5, Kennewick, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407352065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD61328250 (Washington) | Primary |
Entity Name | Rcch Trios Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831682806 PECOS PAC ID: 5799035416 Enrollment ID: O20180830000618 |
Mailing Address | Practice Location Address |
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Jillian Lee Thayer, MD 3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 Ph: (509) 221-6450 | Jillian Lee Thayer, MD 3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 Ph: (267) 441-4583 |
Mr. Steven J Kincaid, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 216 W 10th Ave, Ste 206, Kennewick, WA 99336 Phone: 509-585-5320 Fax: 509-585-5329 | |
Dr. Janel Burgdorff, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 911 S Washington St, Suite B, Kennewick, WA 99336 Phone: 509-586-2828 Fax: 509-586-2525 | |
Ernesto G Dizon Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3730 Plaza Way Fl 5, Kennewick, WA 99338 Phone: 509-221-6550 Fax: 509-221-6511 | |
Jozef William Pavnica, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3730 Plaza Way Fl 5, Kennewick, WA 99338 Phone: 509-221-6550 Fax: 509-221-6511 | |
Mr. Leandro Tuazon Cabanilla, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3730 Plaza Way, Kennewick, WA 99338 Phone: 509-221-6550 Fax: 509-221-6230 | |
James Michael Scully, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 216 W 10th Ave, Suite 202, Kennewick, WA 99336 Phone: 509-585-5954 Fax: 509-586-5869 |