| Steven E Pennington, MD | |
|
825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 | |
| (509) 332-2828 | |
| (509) 334-7474 |
| Full Name | Steven E Pennington |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 825 Se Bishop Blvd Ste 120, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740290642 | NPI | - | NPPES |
| 2113334 | Medicaid | WA | |
| 115398 | Other | WA | WA DEPT OF LABOR |
| 1101567 | Medicaid | WA | |
| 804163900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M7323 (Idaho) | Primary |
| 207X00000X | Orthopaedic Surgery | MD00034937 (Washington) | Secondary |
| Entity Name | Public Hospital District #1-a Of Whitman County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
| Entity Name | Public Hospital District #1-a Of Whitman County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven E Pennington, MD 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 Ph: (509) 332-2828 | Steven E Pennington, MD 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 Ph: (509) 332-2828 |
Edwin M Tingstad, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 120, Pullman, WA 99163 Phone: 509-332-2828 | |
Mathew Zane Taylor, M.D, M.P.H. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 120, Pullman, WA 99163 Phone: 509-332-2828 |