| Dr Roderick William Beaver, MD | |
|
174 1st Ave N, Ilwaco, WA 98624-9137 | |
| (360) 448-0587 | |
| Not Available |
| Full Name | Dr Roderick William Beaver |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 174 1st Ave N, Ilwaco, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689615692 | NPI | - | NPPES |
| 1016271 | Medicaid | WA | |
| 8323198 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00041270 (Washington) | Primary |
| Entity Name | Public Hospital District 3 Of Pacific County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295771376 PECOS PAC ID: 7214822105 Enrollment ID: O20040219000157 |
| Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952483653 PECOS PAC ID: 4981592144 Enrollment ID: O20040309000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roderick William Beaver, MD 34400 Ne Lester Ave, La Center, WA 98629-3413 Ph: (360) 448-0587 | Dr Roderick William Beaver, MD 174 1st Ave N, Ilwaco, WA 98624-9137 Ph: (360) 448-0587 |
Johnny Stephen Bell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Spruce St., Ilwaco, WA 98624 Phone: 360-642-2662 Fax: 360-642-2663 | |
Dr. Mark J Waliser, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 174 First Avenue North, Ilwaco, WA 98624 Phone: 360-642-3181 | |
Dr. Mark R. Kaehler, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 176 1st Ave N, Ocean Beach Hospital - Emcare Emergency Physicians, Ilwaco, WA 98624 Phone: 360-642-6410 |