| Dr Shawn H Wilson, DO | |
|
110 S 9th Ave, Yakima, WA 98902-3315 | |
| (509) 575-5061 | |
| Not Available |
| Full Name | Dr Shawn H Wilson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 110 S 9th Ave, 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 |
|---|---|---|---|
| 1790794931 | NPI | - | NPPES |
| 212148 | Other | WA | LABOR & INDUSTRIES - YAKIMA LOCATION |
| 8461048 | Medicaid | WA | |
| P00339532 | Other | WA | RAILROAD MEDICARE |
| 4141WI | Other | WA | BLUESHIELD - YAKIMA LOCATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OP00002116 (Washington) | Primary |
| Entity Name | Washington Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635 |
| Entity Name | Olney Emergency Group, A Professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386108868 PECOS PAC ID: 8426399965 Enrollment ID: O20190409003071 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawn H Wilson, DO 3916 State St, #300, Santa Barbara, CA 93105-5602 Ph: (800) 230-5160 | Dr Shawn H Wilson, DO 110 S 9th Ave, Yakima, WA 98902-3315 Ph: (509) 575-5061 |
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 |