Kevin Francis Wade, MD | |
840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 | |
(541) 889-2668 | |
(541) 889-2997 |
Full Name | Kevin Francis Wade |
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Gender | Male |
Speciality | Pediatrics |
Location | 840 Sw 4th Ave Ste 105, Ontario, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629135926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD196078 (Oregon) | Primary |
Entity Name | Valley Family Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295415032 PECOS PAC ID: 0547169591 Enrollment ID: O20040305000532 |
Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20100713000593 |
Mailing Address | Practice Location Address |
---|---|
Kevin Francis Wade, MD 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Kevin Francis Wade, MD 840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 Ph: (541) 889-2668 |
Stephen K Ames, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 Phone: 541-881-2380 Fax: 541-881-2389 | |
Nora Francisco De La Paz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 932 W Idaho Ave Ste 101, Ontario, OR 97914 Phone: 541-889-6476 Fax: 541-889-7403 | |
Mrs. Sandra Dunbrasky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1219 Sw 4th Ave, Suite 1, Ontario, OR 97914 Phone: 541-889-2668 Fax: 541-889-2997 | |
Maggie M. Bonilla, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 | |
Dr. Thomas Kent Geraci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Suite 1, Ontario, OR 97914 Phone: 541-889-2668 |