| Larry J Kadeg, MD | |
|
400 S 43rd St, Er Dept, Renton, WA 98055-5714 | |
| (425) 228-3450 | |
| Not Available |
| Full Name | Larry J Kadeg |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 400 S 43rd St, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326056771 | NPI | - | NPPES |
| 1003235 | Medicaid | WA | |
| 185271 | Other | WA | LABOR&INDUSTRIES PROV# |
| KA2130 | Other | WA | REGENCE BS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD00020881 (Washington) | Primary |
| Entity Name | Associated Emergency Room Physicians Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861480840 PECOS PAC ID: 7911892054 Enrollment ID: O20040218000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry J Kadeg, MD 25246 Network Pl, Chicago, IL 60673-1252 Ph: (425) 656-4255 | Larry J Kadeg, MD 400 S 43rd St, Er Dept, Renton, WA 98055-5714 Ph: (425) 228-3450 |
Peter R. Schmidt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055 Phone: 425-228-3450 | |
Karl H Kaufmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055 Phone: 425-228-3450 | |
Stephen William Bretz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055 Phone: 425-251-3440 | |
Riley Anne Fisher, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 606 Oakesdale Ave Sw Ste C200, Renton, WA 98057 Phone: 866-259-1629 | |
Paul Alfred Lee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Emergency Department, Renton, WA 98055 Phone: 425-228-3440 Fax: 425-656-5016 | |
Gabrielle Dionyse Lauren Bernard, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1205 N 10th St Ste A, Renton, WA 98057 Phone: 425-690-3475 Fax: 425-690-9475 |