| Dr Timothy G Caudill, MD | |
|
401 W Poplar St, Walla Walla, WA 99362-2846 | |
| (509) 529-1284 | |
| Not Available |
| Full Name | Dr Timothy G Caudill |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 401 W Poplar St, Walla Walla, 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 |
|---|---|---|---|
| 1720083686 | NPI | - | NPPES |
| 050051134 | Other | WA | RAILROAD MEDICARE |
| 075072 | Medicaid | OR | |
| 8180499 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD00032378 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Service- Washington | 0840279758 | 164 |
| Entity Name | Providence Health & Service- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy G Caudill, MD Po Box 1663, Walla Walla, WA 99362-0031 Ph: (509) 529-1284 | Dr Timothy G Caudill, MD 401 W Poplar St, Walla Walla, WA 99362-2846 Ph: (509) 529-1284 |
Dr. Karl Robert Eckhardt, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8 Oconner Ln, Walla Walla, WA 99362 Phone: 509-522-0479 Fax: 509-522-0512 | |
Paul C Zievers, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 401 W Poplar St, Walla Walla, WA 99362 Phone: 509-529-1284 Fax: 509-522-1798 | |
Daniel James Doran, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St Ste 1440, Walla Walla, WA 99362 Phone: 855-600-5163 | |
Erik Charles Kofler, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Walla Walla, WA 99362 Phone: 855-600-5163 | |
Dr. Kurt J Schlicker, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 401 W Poplar St, Walla Walla, WA 99362 Phone: 509-529-1284 | |
Dr. Christopher Lee Aldrich, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Walla Walla, WA 99362 Phone: 509-525-3320 |