| Dr Somprak Boonpongmanee, MD | |
|
8819 W. Victoria Ave, Kennewick, WA 99336 | |
| (509) 460-5500 | |
| (509) 460-5111 |
| Full Name | Dr Somprak Boonpongmanee |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 35 Years |
| Location | 8819 W. Victoria Ave, Kennewick, 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 |
|---|---|---|---|
| 1528139359 | NPI | - | NPPES |
| 8354037 | Medicaid | WA | |
| 0207386 | Other | WA | LABOR AND INDUSTRIES |
| P00289575 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD00042206 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-cities Digestive Health Center, P.s. | 1759278633 | 5 |
| Entity Name | Tri-cities Digestive Health Center, P.s. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003987868 PECOS PAC ID: 1759278633 Enrollment ID: O20040802000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Somprak Boonpongmanee, MD 8819 W. Victoria Ave, Kennewick, WA 99336 Ph: (509) 460-5500 | Dr Somprak Boonpongmanee, MD 8819 W. Victoria Ave, Kennewick, WA 99336 Ph: (509) 460-5500 |
Rangaswamy Akhanda Chintapatla, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7350 W Deschutes Ave Ste B103, Kennewick, WA 99336 Phone: 509-783-0144 Fax: 509-783-8244 | |
Joel Ohrt, RESIDENT PHYSICIAN Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 216 W 10th Ave Ste 204, Kennewick, WA 99336 Phone: 509-221-5677 | |
David Marcelino Sandoval, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 6710 W Okanogan Place, Kennewick, WA 99336 Phone: 509-783-2000 Fax: 509-783-2008 | |
Srinivas Murthy Mascal Gangadharaiah, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7103 W Grandridge Blvd Ste D, Kennewick, WA 99336 Phone: 509-676-2160 | |
Miss Hebatalla Khaled Allam, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6710 W Okanogan Pl, Kennewick, WA 99336 Phone: 509-942-2528 Fax: 509-783-2008 | |
Dr. Elizabeth Clare Doolin, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 216 W 10th Ave Ste 202, Kennewick, WA 99336 Phone: 509-221-5510 | |
Carlos Ramirez Babinski, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-5510 |