| Fred M Foss, MD | |
|
948 Stevens Dr, Suite A, Richland, WA 99352-3547 | |
| (509) 946-5150 | |
| (509) 946-6547 |
| Full Name | Fred M Foss |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 948 Stevens Dr, Richland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437143179 | NPI | - | NPPES |
| 1018563 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00021421 (Washington) | Primary |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred M Foss, MD 948 Stevens Dr, Suite A, Richland, WA 99352-3547 Ph: (509) 946-5150 | Fred M Foss, MD 948 Stevens Dr, Suite A, Richland, WA 99352-3547 Ph: (509) 946-5150 |
David D Vance, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 948 Stevens Dr Ste A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547 | |
Naeem T Chavla, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 948 Stevens Dr, Suite A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547 | |
Kacey Helena Provenzano, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 780 Swift Blvd Ste 201, Richland, WA 99352 Phone: 509-942-3288 Fax: 509-942-3167 | |
Dr. Patrick W Gavin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive, Suite D Kadlec Clinic Urology, Richland, WA 99352 Phone: 509-942-3165 Fax: 509-942-3167 | |
Julio Slongo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 780 Swift Blvd Ste 201, Richland, WA 99352 Phone: 509-942-3070 Fax: 509-942-3167 |