| Bruce Wallace Ayres, MD | |
|
705 Gage Blvd, Suite 100, Richland, WA 99352-9716 | |
| (509) 374-4400 | |
| (509) 374-4440 |
| Full Name | Bruce Wallace Ayres |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 705 Gage Blvd, Richland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962419473 | NPI | - | NPPES |
| 1120526 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD00043560 (Washington) | Primary |
| Entity Name | Rcch Trios Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831682806 PECOS PAC ID: 5799035416 Enrollment ID: O20180830000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Wallace Ayres, MD 705 Gage Blvd, Suite 100, Richland, WA 99352-9716 Ph: (509) 374-4400 | Bruce Wallace Ayres, MD 705 Gage Blvd, Suite 100, Richland, WA 99352-9716 Ph: (509) 374-4400 |
Luay D Ailabouni, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive, 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352 Phone: 509-942-3185 Fax: 509-946-1850 | |
Dr. Jaewon Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2812 | |
Michael Vernon Parmley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2648 Fax: 509-942-2812 | |
Dr. Seth Lee Welborn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 099-422-0175 Fax: 509-942-2701 | |
Kanika Chawla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 780 Swift Blvd Ste 101, Richland, WA 99352 Phone: 509-942-3060 Fax: 509-946-1850 | |
Philip G Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352 Phone: 509-942-3185 Fax: 509-946-1850 | |
John T Droesch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive, 2nd Floor, Richland, WA 99352 Phone: 509-942-3185 Fax: 509-946-1850 |