| Tamera Schille, | |
|
1000 Wallace Way, Grandview, WA 98930-8805 | |
| (509) 882-3444 | |
| (509) 882-1097 |
| Full Name | Tamera Schille |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1000 Wallace Way, Grandview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902992100 | NPI | - | NPPES |
| 22551 | Other | GROUP HEALTH | |
| 128893 | Other | WA | L & I |
| SC2442 | Other | REGENCE | |
| 8174856 | Medicaid | WA | |
| 911019392 | Other | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD00032543 (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 | Yakima Valley Farm Workers Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamera Schille, 1000 Wallace Way, Grandview, WA 98930-8805 Ph: (509) 882-3444 | Tamera Schille, 1000 Wallace Way, Grandview, WA 98930-8805 Ph: (509) 882-3444 |
Dennis Moore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1003 Wallace Way, Grandview, WA 98930 Phone: 509-203-1080 Fax: 509-203-1077 | |
Thatcher Thomas Harlan Felt, Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 Fax: 509-882-1097 |