| Craig W Edgar, MD00041988 | |
|
2811 Tieton Dr, Yakima, WA 98902-3761 | |
| (509) 575-8000 | |
| (509) 575-8745 |
| Full Name | Craig W Edgar |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2811 Tieton Dr, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043393127 | NPI | - | NPPES |
| 8378747 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00041988 (Washington) | Primary |
| Entity Name | Kittitas County Public Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
| Entity Name | Yakima Valley Memorial Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig W Edgar, MD00041988 Po Box 9787, Yakima, WA 98909-0787 Ph: (509) 574-3350 | Craig W Edgar, MD00041988 2811 Tieton Dr, Yakima, WA 98902-3761 Ph: (509) 575-8000 |
David L Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Dr. Scott W Chapman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Nicholas Reiter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Dr. John Barlow Tanner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Dr. Faye Philomena Provenza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-575-5061 | |
Dr. Kristin Shnowske, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 |