| Paul Pennington, MD | |
|
125 Se 5th Ave, White Salmon, WA 98672-0117 | |
| (509) 281-3012 | |
| Not Available |
| Full Name | Paul Pennington |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 125 Se 5th Ave, White Salmon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528074622 | NPI | - | NPPES |
| 8160228 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00014274 (Washington) | Primary |
| Entity Name | Maniilaq Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Pennington, MD 125 Se 5th Ave, White Salmon, WA 98672-0117 Ph: (509) 281-3012 | Paul Pennington, MD 125 Se 5th Ave, White Salmon, WA 98672-0117 Ph: (509) 281-3012 |
Christopher Faison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Ne Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9543 | |
Dr. Troy R Witherrite, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
Dr. Chardonnay Vance, MD PHD Family Medicine Medicare: Medicare Enrolled Practice Location: 181 W Jewett Blvd, White Salmon, WA 98672 Phone: 509-289-2119 | |
Dr. Raymond John Fitzsimmons, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
Dr. James Garfield Janney Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 | |
Liette C Witherrite, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Ne Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
Dr. Gregory Dean Zuck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 |