Kent C Smith, DO | |
801 E Wheeler Rd, Moses Lake, WA 98837-1820 | |
(509) 766-1301 | |
(509) 766-1306 |
Full Name | Kent C Smith |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 801 E Wheeler Rd, 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 |
---|---|---|---|
1306873302 | NPI | - | NPPES |
1117SM | Other | WA | BSWA |
0223854 | Other | WA | LIWA |
8011SM | Other | WA | BSWA |
8238818 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OP0001625 (Washington) | Primary |
Entity Name | Jefferson County Public Hospital District No 2 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356492953 PECOS PAC ID: 4789593708 Enrollment ID: O20031111000542 |
Mailing Address | Practice Location Address |
---|---|
Kent C Smith, DO 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Kent C Smith, DO 801 E Wheeler Rd, Moses Lake, WA 98837-1820 Ph: (509) 766-1301 |
Caroline Hannon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606 Fax: 509-764-3244 | |
Jeffrey Evans, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 | |
Diane P Savarese, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837 Phone: 509-793-9790 Fax: 509-764-3255 | |
Bo J Beus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606 Fax: 509-764-3244 | |
Alfred S. Roller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 | |
Frank Cruz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 |