| Dr Walter Thomas Cooper Iii, MD | |
|
1200 N 14th Ave, Suite 245, Pasco, WA 99301-4182 | |
| (509) 547-9521 | |
| (509) 547-5983 |
| Full Name | Dr Walter Thomas Cooper Iii |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1200 N 14th Ave, Pasco, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528137759 | NPI | - | NPPES |
| 1377100 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00020136 (Washington) | Primary |
| Entity Name | Tri-cities Chaplaincy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992070346 PECOS PAC ID: 0143217562 Enrollment ID: O20040428000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter Thomas Cooper Iii, MD 1200 N 14th Ave, Suite 245, Pasco, WA 99301-4182 Ph: (509) 547-9521 | Dr Walter Thomas Cooper Iii, MD 1200 N 14th Ave, Suite 245, Pasco, WA 99301-4182 Ph: (509) 547-9521 |
Cheryl Hipolito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 | |
Juan Carlos Hernandez Umana, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3905 Sandifur Parkway, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-543-9795 | |
Dr. Travis Alexander Najera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 N Road 44, Pasco, WA 99301 Phone: 509-396-3001 Fax: 509-544-2158 | |
Dr. Kathryn L Soudah, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5025 Rd 68 Ste G #186, Pasco, WA 99301 Phone: 541-567-5305 | |
Raymond Edward Kania, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5304 N Road 68, Pasco, WA 99301 Phone: 509-543-9300 | |
Thomas Kevin Westhusing, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N 14th Ave, Suite 400, Pasco, WA 99301 Phone: 509-545-6220 Fax: 509-547-0894 | |
Dr. Marshall Keith Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5304 Road 68, Pasco, WA 99301 Phone: 509-543-9300 |