| Dr Patrick W Gavin, DO | |
|
1100 Goethals Drive, Suite D Kadlec Clinic Urology, Richland, WA 99352 | |
| (509) 942-3165 | |
| (509) 942-3167 |
| Full Name | Dr Patrick W Gavin |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 1100 Goethals Drive, Richland, 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 |
|---|---|---|---|
| 1861620627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 5101018466 (Michigan) | Secondary |
| 208800000X | Urology | OP60479551 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Prosser Memorial Hospital | Prosser, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kadlec Regional Medical Center | 9739098617 | 375 |
| Entity Name | Kadlec Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick W Gavin, DO 3900 S Zintel Way, Kennewick, WA 99337-5092 Ph: (509) 942-3627 | Dr Patrick W Gavin, DO 1100 Goethals Drive, Suite D Kadlec Clinic Urology, Richland, WA 99352 Ph: (509) 942-3165 |
David D Vance, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 948 Stevens Dr Ste A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547 | |
Fred M Foss, M.D. Urology Medicare: Medicare Enrolled Practice Location: 948 Stevens Dr, Suite A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547 | |
Naeem T Chavla, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 948 Stevens Dr, Suite A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547 | |
Kacey Helena Provenzano, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 780 Swift Blvd Ste 201, Richland, WA 99352 Phone: 509-942-3288 Fax: 509-942-3167 | |
Julio Slongo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 780 Swift Blvd Ste 201, Richland, WA 99352 Phone: 509-942-3070 Fax: 509-942-3167 |