Columbia Basin Medical Center is a medicare enrolled "Family Medicine" provider in Richland, Washington. Their current practice location is
1305 Fowler St Ste 1b, Richland, Washington. You can reach out to their office (for appointments etc.) via phone at
(509) 585-6318.
Columbia Basin Medical Center is licensed to practice in Washington (license number MD 00048680) and it also participates in the medicare program. Columbia Basin Medical Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1992105613.
Healthcare Provider's Profile
| Full Name | Columbia Basin Medical Center |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 1305 Fowler St Ste 1b, Richland, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992105613
- Provider Enumeration Date: 08/29/2014
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264753037
- Enrollment ID: O20150604001838
Medical Identifiers
Medical identifiers for Columbia Basin Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992105613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CH 00002564 (Washington) | Secondary |
| 207Q00000X | Family Medicine | MD 00048680 (Washington) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Columbia Basin Medical Center acts as a billing entity for following providers:
| Provider Name | Aaron N Johnson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1760425466
PECOS PAC ID: 9335161991
Enrollment ID: I20051222000554 |
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| Provider Name | John J Fontana |
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| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
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| Provider Identifiers | NPI Number: 1962642751
PECOS PAC ID: 4587712310
Enrollment ID: I20090504000566 |
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| Provider Name | Sarena Laree Sloot |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1083058762
PECOS PAC ID: 5698917466
Enrollment ID: I20130806000962 |
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| Provider Name | Todd R Garrett |
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| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
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| Provider Identifiers | NPI Number: 1942442306
PECOS PAC ID: 4688727969
Enrollment ID: I20140508000834 |
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| Provider Name | Gabriel U Sims |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1659751279
PECOS PAC ID: 8426353558
Enrollment ID: I20160226000875 |
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| Provider Name | Cijiana Simmons |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1700360328
PECOS PAC ID: 0345585683
Enrollment ID: I20181214001668 |
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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. Columbia Basin Medical Center is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Columbia Basin Medical Center
1305 Fowler St Ste 1b,
Richland, WA 99352-4719
Ph: (509) 585-6318 | Columbia Basin Medical Center
1305 Fowler St Ste 1b,
Richland, WA 99352-4719
Ph: (509) 585-6318 |
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