| Dr Brian T Reynolds, MD | |
|
2811 Tieton Dr, Yakima, WA 98902-3761 | |
| (509) 575-8000 | |
| (509) 575-8745 |
| Full Name | Dr Brian T Reynolds |
|---|---|
| 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 |
|---|---|---|---|
| 1477636900 | NPI | - | NPPES |
| 8363152 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD193545 (Oregon) | Secondary |
| 207P00000X | Emergency Medicine | MD00042203 (Washington) | Primary |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian T Reynolds, MD Po Box 9787, Yakima, WA 98907-0787 Ph: (509) 575-8255 | Dr Brian T Reynolds, MD 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 | |
Craig W. Edgar, MD00041988 Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 Fax: 509-575-8745 | |
Dr. John Barlow Tanner, MD Emergency Medicine Medicare: Medicare Enrolled 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 |