| Jillian Lee Thayer, MD | |
|
3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 | |
| (267) 441-4583 | |
| Not Available |
| Full Name | Jillian Lee Thayer |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 3730 Plaza Way Fl 5, Kennewick, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407352065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD61328250 (Washington) | Primary |
| Entity Name | Rcch Trios Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831682806 PECOS PAC ID: 5799035416 Enrollment ID: O20180830000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Lee Thayer, MD 3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 Ph: (509) 221-6450 | Jillian Lee Thayer, MD 3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 Ph: (267) 441-4583 |
Mr. Steven J Kincaid, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 216 W 10th Ave, Ste 206, Kennewick, WA 99336 Phone: 509-585-5320 Fax: 509-585-5329 | |
Jozef William Pavnica, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3730 Plaza Way Fl 5, Kennewick, WA 99338 Phone: 509-221-6550 Fax: 509-221-6511 | |
Mr. Leandro Tuazon Cabanilla, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3730 Plaza Way, Kennewick, WA 99338 Phone: 509-221-6550 Fax: 509-221-6230 | |
James Michael Scully, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 216 W 10th Ave, Suite 202, Kennewick, WA 99336 Phone: 509-585-5954 Fax: 509-586-5869 |