Mr Richard W Shallman, MD | |
7425 Wrigley Dr Ste 204, Pasco, WA 99301-5292 | |
(509) 547-0027 | |
(509) 547-6946 |
Full Name | Mr Richard W Shallman |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 7425 Wrigley Dr Ste 204, Pasco, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346308483 | NPI | - | NPPES |
1028083 | Medicaid | WA | |
020006991 | Other | WA | MEDICARE RR |
13040 | Other | WA | L AND I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD00024680 (Washington) | Primary |
Entity Name | Lourdes Hospital Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1831284280 PECOS PAC ID: 1850642562 Enrollment ID: O20180919002474 |
Entity Name | Lourdes Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard W Shallman, MD 520 N 4th Ave, Pasco, WA 99301-5257 Ph: (509) 416-8849 | Mr Richard W Shallman, MD 7425 Wrigley Dr Ste 204, Pasco, WA 99301-5292 Ph: (509) 547-0027 |
Ms. Laurie S. Evans, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7425 Wrigley Dr., Ste 204, Pasco, WA 99301 Phone: 509-547-0027 Fax: 509-546-8386 | |
Dr. Ashlea Kirstin Mcmanus, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-547-7704 | |
Alfred Monteilh Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 N 14th Ave, #240, Pasco, WA 99301 Phone: 509-547-0675 Fax: 509-547-0584 | |
Dr. Jason David Wright, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 5908 Bedford St Ste C, Pasco, WA 99301 Phone: 509-792-1404 Fax: 509-792-1404 |