| Dr Phillip Carron, MD | |
|
1550 S Pioneer Way, Moses Lake, WA 98837-4613 | |
| (509) 793-9780 | |
| (509) 764-3245 |
| Full Name | Dr Phillip Carron |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1550 S Pioneer Way, Moses Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033591375 | NPI | - | NPPES |
| 2350798 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD70039642 (Washington) | Primary |
| 207Q00000X | Family Medicine | 065-T1 (Wyoming) | Secondary |
| Entity Name | City Medical Of Upper East Side Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Carron, MD 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Dr Phillip Carron, MD 1550 S Pioneer Way, Moses Lake, WA 98837-4613 Ph: (509) 793-9780 |
Casey Michelle Celerian, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Matthew Hardy, M.S., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Dr. Micheal Ryan Tolley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Ed Hoover, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Dr. Kim Trong Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591 | |
Cameron M. Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591 |