| Disruption Healthcare Pllc | |
|
969 Stevens Dr Ste 3a Richland WA 99352-3558 | |
| (509) 554-6128 | |
| Not Available |
| Full Name | Disruption Healthcare Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 969 Stevens Dr Ste 3a, Richland, Washington |
| Authorized Official Name and Position | Benjamin Nipper (CFO) |
| Authorized Official Contact | 5095546128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Disruption Healthcare Pllc 2633 Quarterhorse Way Richland WA 99352-9496 Ph: (509) 554-6128 | Disruption Healthcare Pllc 969 Stevens Dr Ste 3a Richland WA 99352-3558 Ph: (509) 554-6128 |
| NPI Number | 1316715295 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 4486007705 |
|---|---|
| Medicare Enrollment ID | O20240201004400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316715295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Todd Allgaier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659300374 PECOS PAC ID: 9830195742 Enrollment ID: I20061017000586 |
| Provider Name | Andrea Munder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801287529 PECOS PAC ID: 7719204221 Enrollment ID: I20170915003016 |
| Provider Name | James R Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457816035 PECOS PAC ID: 0042552093 Enrollment ID: I20190423002899 |
| Provider Name | Adrian Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356704035 PECOS PAC ID: 4183954654 Enrollment ID: I20190925003423 |
Shriners Hospitals For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Swift Blvd Ste A, Richland, WA 99352 Phone: 509-942-2573 Fax: 509-943-5652 | |
Tri-cities Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Goethals Dr, Richland, WA 99352 Phone: 509-547-2204 Fax: 509-946-0051 | |
Richland Family Medicine Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 George Washington Way, Suite #1, Richland, WA 99352 Phone: 509-946-9664 | |
Kemunto Kakumba Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1446 Spaulding Park, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Robert L. Whitson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 Stevens Dr, Richland, WA 99352 Phone: 509-946-5233 Fax: 509-946-5326 | |
William Kalichman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Gage Blvd, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Barbara L Atwood Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 953 Stevens Dr, Suite B, Richland, WA 99352 Phone: 509-946-0802 Fax: 509-946-0104 |