| Jon B Gardner, MD | |
|
380 Chase St, Internal Medicine, Walla Walla, WA 99362 | |
| (509) 525-8110 | |
| (509) 522-5743 |
| Full Name | Jon B Gardner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 380 Chase St, Walla Walla, 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 |
|---|---|---|---|
| 1447264841 | NPI | - | NPPES |
| 1447264841 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00033931 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center Home Health | Walla walla, WA | Home health agency |
| Columbia River Home Health | Kennewick, WA | Home health agency |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 223 |
| 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 |
|---|---|
| Jon B Gardner, MD Po Box 34439, Seattle, WA 98124-1439 Ph: () - | Jon B Gardner, MD 380 Chase St, Internal Medicine, Walla Walla, WA 99362 Ph: (509) 525-8110 |
Dr. Galen S Mcquarrie, M. D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Dr. Delwyn Richard Baker, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 77 Wainwright Drive, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Alonso Dario Pezo Salazar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Lori Alborn Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Chase St, Walla Walla, WA 99362 Phone: 509-525-8110 Fax: 509-522-5743 | |
Timothy A Davidson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar, Walla Walla, WA 99362 Phone: 509-522-5940 Fax: 509-522-5744 | |
Mrs. Cynthia Lynn Rasch, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 401 W Poplar St, Psmpg Hospitalists, Walla Walla, WA 99362 Phone: 509-525-3320 Fax: 509-522-5184 | |
Dr. Philip L Hooper, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 West Tietan, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 |