Jason S Glade, NP | |
1268 Lee Boulevard, Richland, WA 99352 | |
(509) 942-2660 | |
(509) 942-3836 |
Full Name | Jason S Glade |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 1268 Lee Boulevard, Richland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083634620 | NPI | - | NPPES |
1083634620 | Medicaid | WA | |
500030524 | Other | PALMETTO | |
0335446 | Other | WA | LABOR & INDUSTRIES |
30999444000001 | Other | UT | BCBS OF UTAH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 309994-4405 (Utah) | Secondary |
363L00000X | Nurse Practitioner | AP30007491 (Washington) | Primary |
Entity Name | Kadlec Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
Mailing Address | Practice Location Address |
---|---|
Jason S Glade, NP 560 Gage Blvd Suite 203, Richland, WA 99352 Ph: (509) 942-3627 | Jason S Glade, NP 1268 Lee Boulevard, Richland, WA 99352 Ph: (509) 942-2660 |
Tracy Candace W. Degenstein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Torbett St Ste 101, Richland, WA 99354 Phone: 509-427-1450 Fax: 509-427-1490 | |
Kathryn S Brault, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Mansfield St Ste 4, Richland, WA 99352 Phone: 509-946-6124 Fax: 866-692-4493 | |
Somrit Koy Tim, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Goethals Dr Ste E3, Richland, WA 99352 Phone: 509-942-2986 Fax: 509-942-3097 | |
Ms. Anne Campbell Laucella, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2648 | |
Ms. Jennifer Lee Barden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 George Washington Way, Richland, WA 99354 Phone: 888-227-3312 Fax: 509-622-2707 | |
Christa Heidi Moore, ADN,BSN,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2630 Fax: 509-942-2007 | |
Antonette Lynn Harvill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2887 |