Tamera Schille, | |
1000 Wallace Way, Grandview, WA 98930-8805 | |
(509) 882-3444 | |
(509) 882-1097 |
Full Name | Tamera Schille |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1000 Wallace Way, Grandview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902992100 | NPI | - | NPPES |
22551 | Other | GROUP HEALTH | |
128893 | Other | WA | L & I |
SC2442 | Other | REGENCE | |
8174856 | Medicaid | WA | |
911019392 | Other | COMMERCIAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00032543 (Washington) | Primary |
Entity Name | Prosser Public Hospital District Of Benton County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20040120000974 |
Entity Name | Yakima Valley Farm Workers Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
Mailing Address | Practice Location Address |
---|---|
Tamera Schille, 1000 Wallace Way, Grandview, WA 98930-8805 Ph: (509) 882-3444 | Tamera Schille, 1000 Wallace Way, Grandview, WA 98930-8805 Ph: (509) 882-3444 |
Dennis Moore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1003 Wallace Way, Grandview, WA 98930 Phone: 509-203-1080 Fax: 509-203-1077 | |
Thatcher Thomas Harlan Felt, Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 Fax: 509-882-1097 |