| Dr Samuel W Richard, MD | |
|
8507 South 5th Street, Suite 113, Ridgefield, WA 98642 | |
| (360) 887-9494 | |
| (360) 887-9498 |
| Full Name | Dr Samuel W Richard |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8507 South 5th Street, Ridgefield, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346246303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD45571 (Washington) | Primary |
| Entity Name | Grant County Public Hospital District No. 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134283930 PECOS PAC ID: 6709775166 Enrollment ID: O20040312001134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel W Richard, MD Po Box 8904, Vancouver, WA 98668-8904 Ph: (360) 887-9494 | Dr Samuel W Richard, MD 8507 South 5th Street, Suite 113, Ridgefield, WA 98642 Ph: (360) 887-9494 |
Dr. Robert M. Gonzales, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5515 Pioneer St, Ridgefield, WA 98642 Phone: 360-882-2778 Fax: 360-604-1649 | |
Dr. Arthur L. Clemente, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8507 S 5th St # 113, Ridgefield, WA 98642 Phone: 360-887-9494 | |
Karthika Vempati, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5515 Pioneer St, Ridgefield, WA 98642 Phone: 360-882-2778 | |
Dr. Josephine Elizabeth Drew, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8507 S 5th St, Suite 113, Ridgefield, WA 98642 Phone: 360-887-9494 Fax: 360-887-9498 |