| Dr Branden R Reynolds, MD | |
|
62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | |
| (509) 456-0262 | |
| (509) 462-5059 |
| Full Name | Dr Branden R Reynolds |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 62 W 7th Ave Ste 110, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427056357 | NPI | - | NPPES |
| G8878301 | Other | WA | MEDICARE PTAN |
| G8871050 | Other | WA | MEDICARE PTAN |
| 11106891 | Other | ID | MEDICARE PTAN |
| 805509000 | Medicaid | ID | |
| 8195828 | Medicaid | WA |
| Entity Name | Providence Health & Services-wa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538311287 PECOS PAC ID: 7911069703 Enrollment ID: O20090105000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Branden R Reynolds, MD 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 Ph: (509) 456-0262 | Dr Branden R Reynolds, MD 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 Ph: (509) 456-0262 |
Dr. Steven J. Nisco, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 | |
Matthew Donavon Forrester, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 | |
Kai A Ihnken, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 122 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-462-6485 Fax: 509-462-5059 | |
Dr. Neil K. Worrall, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 | |
Justin Reeves, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 | |
Alexi Matousek, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 |