Robert Kenneth Fairbanks, MD | |
601 S Sherman St, Spokane, WA 99202-1311 | |
(509) 228-1000 | |
(509) 252-9300 |
Full Name | Robert Kenneth Fairbanks |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 32 Years |
Location | 601 S Sherman St, Spokane, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821084781 | NPI | - | NPPES |
805949200 | Medicaid | ID | |
000010032648 | Other | BLUE SHIELD OF IDAHO | |
920006292 | Other | RAILROAD MEDICARE | |
K0716 | Other | BLUE CROSS OF IDAHO | |
0144615 | Other | WA | LABOR & INDUSTRIES |
3070FA | Other | WA | ASURIS NW HEALTH |
5034131 | Other | AETNA | |
8243958 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD00037655 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Pullman Regional Hospital | Pullman, WA | Hospital |
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cancer Care Northwest Centers P S | 4688561939 | 41 |
Cancer Care Northwest Centers P S | 4688561939 | 41 |
Entity Name | Cancer Care Northwest Centers P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922072081 PECOS PAC ID: 4688561939 Enrollment ID: O20040302000160 |
Mailing Address | Practice Location Address |
---|---|
Robert Kenneth Fairbanks, MD Po Box 3868, Spokane, WA 99220-3868 Ph: (509) 228-1000 | Robert Kenneth Fairbanks, MD 601 S Sherman St, Spokane, WA 99202-1311 Ph: (509) 228-1000 |
Thomas E Richardson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 E 5th Ave, Spokane, WA 99202 Phone: 509-838-2531 | |
Jodi L Bailey, MD Radiology Medicare: Medicare Enrolled Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-747-4455 Fax: 509-363-7064 | |
William E Schulte, MD Radiology Medicare: Medicare Enrolled Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-747-4455 Fax: 509-363-7064 | |
Jason Vergnani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-363-7788 | |
Brad J Ratcliff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1314 E Susan Ln, Spokane, WA 99223 Phone: 509-953-0145 | |
Dr. Richard Frankland Kennard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-363-7788 | |
Dr. Gurpreet Singh Dhillon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-747-4455 Fax: 509-363-7064 |