Kirk Ellsworth Willard, MD | |
380 Chase Ave, Orthopaedics, Walla Walla, WA 99362-2924 | |
(509) 522-5820 | |
(509) 522-5570 |
Full Name | Kirk Ellsworth Willard |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 35 Years |
Location | 380 Chase Ave, Walla Walla, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669486072 | NPI | - | NPPES |
134448 | Medicaid | OR | |
1669486072 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD00037859 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Mary Medical Center Home Health | Walla walla, WA | Home health agency |
Providence St Mary Medical Center | Walla walla, WA | Hospital |
Wallowa Memorial Hospital | Enterprise, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services - Washington | 2860552973 | 228 |
Entity Name | Providence Health & Services - Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
Mailing Address | Practice Location Address |
---|---|
Kirk Ellsworth Willard, MD Po Box 34439, Seattle, WA 98124-1439 Ph: () - | Kirk Ellsworth Willard, MD 380 Chase Ave, Orthopaedics, Walla Walla, WA 99362-2924 Ph: (509) 522-5820 |
Dr. Erik C Gryler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1573 | |
Dr. Richard Lyle Henderson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Orthopedics, Walla Walla, WA 99362 Phone: 509-522-5820 Fax: 509-522-5570 | |
Mr. Michael Wade Gillespie, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Brookside Drive, Walla Walla, WA 99362 Phone: 509-525-1890 | |
Michael James Wilwand, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 West Tietan Street, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 | |
Scott B Hutson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1017 S 2nd Ave, Suite 1, Walla Walla, WA 99362 Phone: 509-525-4900 Fax: 509-522-3886 |