| David A Hutton, MD | |
|
380 Chase Ave, Walla Walla, WA 99362-2924 | |
| (509) 897-2660 | |
| (509) 897-5516 |
| Full Name | David A Hutton |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 37 Years |
| Location | 380 Chase Ave, Walla Walla, 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 |
|---|---|---|---|
| 1932113347 | NPI | - | NPPES |
| 150715 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00035397 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Dayton General Hospital | Dayton, WA | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Wallowa Memorial Hospital | Enterprise, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 275 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Mailing Address | Practice Location Address |
|---|---|
| David A Hutton, MD Po Box 34439, Seattle, WA 98124-1439 Ph: () - | David A Hutton, MD 380 Chase Ave, Walla Walla, WA 99362-2924 Ph: (509) 897-2660 |
Dr. John G Sislow, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1573 | |
Dr. Jason Sedarsky, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 095-897-2260 Fax: 509-897-5516 |