| Susan Whitaker, DO | |
|
888 Swift Blvd, Richland, WA 99352-3514 | |
| (509) 946-4611 | |
| (253) 838-6418 |
| Full Name | Susan Whitaker |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 888 Swift Blvd, Richland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346289931 | NPI | - | NPPES |
| 1048529 | Medicaid | WA | |
| 0202707 | Other | WA | LIWA |
| 3075WH | Other | WA | BSWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OP00001172 (Washington) | Primary |
| Entity Name | Prosser Public Hospital District Of Benton County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20040120000974 |
| Entity Name | Okanogan County Public Hospital Dist No 4 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750443834 PECOS PAC ID: 9335051150 Enrollment ID: O20040323000641 |
| Entity Name | Prosser Public Hospital District Of Benton County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20060317000302 |
| Entity Name | Okanogan County Public Hospital Dist No 4 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1164580700 PECOS PAC ID: 9335051150 Enrollment ID: O20061104000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Whitaker, DO 203 S Western Ave, Tonasket, WA 98855-8803 Ph: (509) 486-3144 | Susan Whitaker, DO 888 Swift Blvd, Richland, WA 99352-3514 Ph: (509) 946-4611 |
Dr. Jared Wolfert, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Thomas David Olsen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 801-910-4089 | |
Mr. Fernando Medina-delvalle, PA C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2757 | |
Phillip Evan Merrill, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Elizabeth Karr, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Gregory Allen Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2757 | |
Marcus E Dubrow, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2159 Fax: 509-942-2757 |