| Craig D Whittlesey, MD | |
|
1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 | |
| (509) 454-7700 | |
| (509) 454-7710 |
| Full Name | Craig D Whittlesey |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 1420 Ahtanum Ridge Dr, Union Gap, 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 |
|---|---|---|---|
| 1588673883 | NPI | - | NPPES |
| 8196768 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00034057 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountainview Home Health | Yakima, WA | Home health agency |
| Astria Sunnyside Hospital | Sunnyside, WA | Hospital |
| Virginia Mason Memorial | Yakima, WA | Hospital |
| Astria Toppenish Hospital | Toppenish, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shc Medical Center Toppenish | 4082980065 | 40 |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Entity Name | Shc Medical Center Toppenish |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig D Whittlesey, MD 732 Summitview Ave, #621, Yakima, WA 98902-3032 Ph: (509) 573-3448 | Craig D Whittlesey, MD 1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 Ph: (509) 454-7700 |
Dr. Charles Vaughan Bulfinch, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1420 Ahtanum Ridge Dr, Union Gap, WA 98903 Phone: 509-454-7700 | |
Richard D Edgerly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1420 Ahtanum Ridge Dr, Union Gap, WA 98903 Phone: 509-454-7700 Fax: 509-454-7710 |