| Patrick O'brien, MD | |
|
315 Holton Ave, Ste 102, Yakima, WA 98902-3254 | |
| (509) 895-0402 | |
| (509) 248-0733 |
| Full Name | Patrick O'brien |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 315 Holton Ave, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992782692 | NPI | - | NPPES |
| 8323032 | Medicaid | WA | |
| 268491 | Medicaid | OR | |
| 840126018 | Other | OR | REGENCE BS/BC |
| P00203830 | Other | OR | RR MC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD23956 (Oregon) | Primary |
| Entity Name | Epic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700983319 PECOS PAC ID: 6608766423 Enrollment ID: O20040317000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick O'brien, MD Po Box 2925, Yakima, WA 98907-2925 Ph: (509) 895-0402 | Patrick O'brien, MD 315 Holton Ave, Ste 102, Yakima, WA 98902-3254 Ph: (509) 895-0402 |
Joseph P Gouveia, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 315 Holton Ave Ste 102, Yakima, WA 98902 Phone: 509-895-0402 Fax: 509-248-0733 | |
William C Feldmann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 Holton Ave Ste 102, Yakima, WA 98902 Phone: 509-895-0402 Fax: 509-248-0733 | |
Daniel Pak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 315 Holton Ave, Ste 102, Yakima, WA 98902 Phone: 509-895-0402 Fax: 509-248-0733 | |
Sean F Cleary, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 808 N 39th Ave, Yakima, WA 98902 Phone: 509-574-3500 | |
Dr. Gregory Alan Wright, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 315 Holton Ave Ste 102, Yakima, WA 98902 Phone: 509-895-0402 Fax: 509-895-0402 | |
David C Stepanek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 Holton Ave Ste 102, Yakima, WA 98902 Phone: 509-895-0402 Fax: 509-248-0733 | |
William J Glenski, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 315 Holton Ave Ste 102, Yakima, WA 98902 Phone: 509-895-0402 Fax: 509-248-0733 |