| Devon Reese Kienzle, DO | |
|
1190 Riddle St, Darrington, WA 98241-7722 | |
| (360) 436-1055 | |
| (360) 436-0146 |
| Full Name | Devon Reese Kienzle |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 1190 Riddle St, Darrington, 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 |
|---|---|---|---|
| 1003313222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP61073204 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cascade Valley Hospital | Arlington, WA | Hospital |
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Hospital Dist No 1 Skagit | 6800793522 | 320 |
| Public Hospital Dist No 1 Skagit | 6800793522 | 320 |
| South Sound Inpatient Physicians Pllc | 5991618738 | 430 |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
| Entity Name | Public Hospital Dist No 1 Skagit |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
| Entity Name | Hospitalist Medicine Physicians Of California-san Bernardino, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376188078 PECOS PAC ID: 4082041280 Enrollment ID: O20200228000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Devon Reese Kienzle, DO 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: () - | Devon Reese Kienzle, DO 1190 Riddle St, Darrington, WA 98241-7722 Ph: (360) 436-1055 |
Dr. Gary Lee Schillhammer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1190 Riddle St, Darrington, WA 98241 Phone: 360-436-1055 Fax: 360-436-0146 |