| John Robert Matheson, MD | |
|
888 Swift Blvd, Richland, WA 99352-3514 | |
| (509) 946-4611 | |
| (509) 942-2757 |
| Full Name | John Robert Matheson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 888 Swift Blvd, 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 |
|---|---|---|---|
| 1669413258 | NPI | - | NPPES |
| 0184536 | Other | WA | LIWA |
| 8314411 | Medicaid | WA | |
| 4243MA | Other | WA | BSWA |
| 0204800 | Other | WA | LIWA |
| 3075MA | Other | WA | BSWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00041012 (Washington) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| John Robert Matheson, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | John Robert Matheson, MD 888 Swift Blvd, Richland, WA 99352-3514 Ph: (509) 946-4611 |
Dr. Jared Wolfert, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Thomas David Olsen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 801-910-4089 | |
Mr. Fernando Medina-delvalle, PA C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2757 | |
Phillip Evan Merrill, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Elizabeth Karr, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Gregory Allen Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2757 | |
Marcus E Dubrow, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2159 Fax: 509-942-2757 |