Scott Terry, DO | |
3180 W Clearwater Ave Ste A, Kennewick, WA 99336-2765 | |
(509) 547-2204 | |
(509) 545-3960 |
Full Name | Scott Terry |
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Gender | Male |
Speciality | Pediatrics |
Location | 3180 W Clearwater Ave Ste A, 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 |
---|---|---|---|
1205253184 | NPI | - | NPPES |
1205253184 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OP60754062 (Washington) | Primary |
Entity Name | Tri-cities Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861698987 PECOS PAC ID: 4183517469 Enrollment ID: O20040203000209 |
Mailing Address | Practice Location Address |
---|---|
Scott Terry, DO 8606 W 1st Ave, Kennewick, WA 99336-9407 Ph: () - | Scott Terry, DO 3180 W Clearwater Ave Ste A, Kennewick, WA 99336-2765 Ph: (509) 547-2204 |
Dr. Ivan S Guevara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 W 10th Ave Ste 102, Kennewick, WA 99336 Phone: 509-221-5910 Fax: 509-221-5912 | |
Mahmoud Adeeb Ah Hamdan, Pediatrics Medicare: Medicare Enrolled Practice Location: 721 S Auburn St, Kennewick, WA 99336 Phone: 509-547-2204 Fax: 509-542-8836 | |
Sonika Loona, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8108 W Grandridge Blvd, Kennewick, WA 99336 Phone: 509-942-3264 Fax: 509-735-5382 | |
Dr. Nikom Wannarachue, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 721 S Auburn St, Kennewick, WA 99336 Phone: 509-586-1157 Fax: 509-582-4189 | |
Gwendolyn G Gavino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7211 W Deschutes Ave, Ste. E, Kennewick, WA 99336 Phone: 509-735-9239 Fax: 509-735-9310 | |
Glenn N. Ello, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4309 W 27th Pl, Suite 301, Kennewick, WA 99338 Phone: 509-222-2231 Fax: 509-222-2232 |