| Dr Bryan Cothren, MD | |
|
3100 Tongass Ave, Ketchikan, AK 99901 | |
| (907) 228-7660 | |
| (907) 228-8549 |
| Full Name | Dr Bryan Cothren |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3100 Tongass Ave, Ketchikan, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598144800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PGY.202963 (Louisiana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 142879 (Alaska) | Primary |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1396705539 PECOS PAC ID: 9436067618 Enrollment ID: O20080114000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan Cothren, MD 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1462 | Dr Bryan Cothren, MD 3100 Tongass Ave, Ketchikan, AK 99901 Ph: (907) 228-7660 |
Dr. Mahija Mungara, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264 | |
Wynelle R Snow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 21 Jefferson St, Suite 201, Ketchikan, AK 99901 Phone: 907-220-9948 Fax: 907-220-9947 | |
Mr. Victor Chen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-7660 Fax: 907-228-8549 | |
Ronald A Weisner, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-7660 Fax: 907-228-8336 |