| Kennan Dale Richards, DO | |
|
3325 Pocahontas Rd, Baker City, OR 97814-1464 | |
| (541) 523-1797 | |
| (541) 523-1799 |
| Full Name | Kennan Dale Richards |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 3325 Pocahontas Rd, Baker City, Oregon |
| 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 |
|---|---|---|---|
| 1679195614 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Medical Center Baker City Inc | 4981732518 | 12 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Entity Name | Saint Alphonsus Medical Center Baker City Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881726206 PECOS PAC ID: 4981732518 Enrollment ID: O20100618000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennan Dale Richards, DO 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Kennan Dale Richards, DO 3325 Pocahontas Rd, Baker City, OR 97814-1464 Ph: (541) 523-1797 |
Gary S Devos, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-523-8111 | |
David Alan Richards, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3325 Pocahontas, Baker City, OR 97814 Phone: 541-523-0574 Fax: 841-523-1738 | |
Nancy Hutnak, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-523-8105 Fax: 541-523-1738 | |
Neal R Jacobson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Road, Baker City, OR 97814 Phone: 541-523-8111 Fax: 541-523-1738 | |
Nicholas James Kroll, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-523-1797 Fax: 541-523-1799 |