Proliance Surgeons, Inc., P.s. is a
Otolaryngology based in Kennewick, Washington. Proliance Surgeons, Inc., P.s. is licensed to practice in Washington (license number 601484763) and their current practice location is
7105 W Hood Pl Ste A103, Kennewick, Washington. It can be reached at their office (for appointments etc.) via phone at
(509) 735-5551.
NPI number for Proliance Surgeons, Inc., P.s. is 1255683959 and their current mailing address is 7105 W Hood Pl Ste A103, Kennewick, Washington. Proliance Surgeons, Inc., P.s.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1255683959.
Healthcare Provider's Profile
| Full Name | Proliance Surgeons, Inc., P.s. |
|---|
| Type | Facility |
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| Speciality | Otolaryngology |
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| Location | 7105 W Hood Pl Ste A103, Kennewick, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255683959
- Provider Enumeration Date: 10/05/2012
- Last Update Date: 08/22/2022
Medical Identifiers
Medical identifiers for Proliance Surgeons, Inc., P.s. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255683959 | NPI | - | NPPES |
| 2024012 | Medicaid | WA | |
| 300290 | Other | WA | WA LABOR & INDUSTRIES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 601484763 (Washington) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | 601484763 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Proliance Surgeons, Inc., P.s. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Proliance Surgeons, Inc., P.s.
7105 W Hood Pl Ste A103,
Kennewick, WA 99336-6714
Ph: (509) 735-5551 | Proliance Surgeons, Inc., P.s.
7105 W Hood Pl Ste A103,
Kennewick, WA 99336-6714
Ph: (509) 735-5551 |
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