| Fermin Steven Godinez, DO | |
|
801 E Wheeler Rd, Moses Lake, WA 98837-1820 | |
| (509) 766-1301 | |
| (509) 766-1306 |
| Full Name | Fermin Steven Godinez |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 801 E Wheeler Rd, Moses Lake, 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 |
|---|---|---|---|
| 1639149966 | NPI | - | NPPES |
| 4688GO | Other | WA | BSWA |
| 3075GO | Other | WA | BSWA |
| 8468183 | Medicaid | WA | |
| 0218178 | Other | WA | LIWA |
| 218368 | Other | WA | LIWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A7130 (California) | Secondary |
| 207P00000X | Emergency Medicine | OP00002147 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 223 |
| Northwest Emergency Physicians Llc | 3476462334 | 217 |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Fermin Steven Godinez, DO 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Fermin Steven Godinez, DO 801 E Wheeler Rd, Moses Lake, WA 98837-1820 Ph: (509) 766-1301 |
Caroline Hannon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606 Fax: 509-764-3244 | |
Jeffrey Evans, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 | |
Kent C Smith, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 | |
Diane P Savarese, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837 Phone: 509-793-9790 Fax: 509-764-3255 | |
Bo J Beus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606 Fax: 509-764-3244 | |
Alfred S. Roller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 | |
Frank Cruz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 |