Kenneth R Brewer, DPM | |
1708 Yakima Ave, Ste 110, Tacoma, WA 98405-5307 | |
(253) 627-9151 | |
Not Available |
Full Name | Kenneth R Brewer |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1708 Yakima Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760415657 | NPI | - | NPPES |
480033767 | Other | WA | MEDICARE RAILROAD |
480033768 | Other | WA | MEDICARE RAILROAD |
8936260 | Other | WA | STATE CRIME VICTIMS |
8936261 | Other | WA | STATE CRIME VICTIMS |
0226419 | Other | WA | STATE L&I |
158900 | Other | WA | STATE L&I |
0158901 | Other | WA | STATE L&I |
8311193 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO00000585 (Washington) | Primary |
Provider Name | Franciscan Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Mailing Address | Practice Location Address |
---|---|
Kenneth R Brewer, DPM 1708 Yakima Ave, Ste 110, Tacoma, WA 98405-5307 Ph: (253) 627-9151 | Kenneth R Brewer, DPM 1708 Yakima Ave, Ste 110, Tacoma, WA 98405-5307 Ph: (253) 627-9151 |
Robert Mcbride, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 4050 S 19th St Ste 202, Tacoma, WA 98405 Phone: 253-565-3355 Fax: 253-564-6744 | |
Philip R. Yearian Dpm Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2420 S Union Ave, Ste 300, Tacoma, WA 98405 Phone: 253-756-0888 Fax: 253-752-1704 | |
Mr. Randolph Charles Fish, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 915 So. 76th St., Tacoma, WA 98408 Phone: 253-584-9530 Fax: 360-427-2769 | |
Eric Edward Leonheart, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9040 Jackson Avenue Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-1110 | |
Mario Natale Ponticello, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3505 | |
Dr. Nicholas S Heath, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7800 Pacific Ave, Suite 1, Tacoma, WA 98408 Phone: 253-473-5566 Fax: 253-882-0988 | |
Tacoma Foot And Ankle Clinic Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1206 S 11th St, Suite 2, Tacoma, WA 98405 Phone: 253-272-0606 Fax: 253-272-2118 |