| Dr Wade W Webster, MD | |
|
12040 Ne 128th St, Kirkland, WA 98034-3013 | |
| (425) 899-1000 | |
| Not Available |
| Full Name | Dr Wade W Webster |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12040 Ne 128th St, Kirkland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053367599 | NPI | - | NPPES |
| 8938312 | Other | WA CRIME VICTIM | |
| F60864 | Other | GROUP HEALTH | |
| 8148918 | Medicaid | WA | |
| WE7882 | Other | REGENCE BS | |
| 184576 | Other | WA L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00030906 (Washington) | Primary |
| Entity Name | Evergreen Emergency Services Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619912524 PECOS PAC ID: 4981694155 Enrollment ID: O20040518000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wade W Webster, MD File 50421, Los Angeles, CA 90074-0001 Ph: (800) 793-3529 | Dr Wade W Webster, MD 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: (425) 899-1000 |
Austin M Gross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1711 | |
Dr. Dominic Connolly, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Larisa A Kaukonen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Chad M Bentsen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Ronald Cole Dobson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8315 Ne Juanita Dr, Kirkland, WA 98034 Phone: 206-718-4072 Fax: 206-215-6599 | |
Dr. Adrian M Whorton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 |