| Hector Manuel Gutierrez Jr, PA C | |
|
520 N 4th Ave, Pasco, WA 99301-5257 | |
| (509) 547-7704 | |
| (509) 542-3032 |
| Full Name | Hector Manuel Gutierrez Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 520 N 4th Ave, Pasco, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043256233 | NPI | - | NPPES |
| 8323081 | Medicaid | WA | |
| 3075GU | Other | WA | BSWA |
| 0202688 | Other | WA | LIWA |
| 3945GU | Other | WA | BSWA |
| 0222295 | Other | WA | LIWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003370 (Washington) | Primary |
| 207P00000X | Emergency Medicine | PA10003370 (Washington) | Secondary |
| Entity Name | Northwest Physician Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275567919 PECOS PAC ID: 4183523806 Enrollment ID: O20031231000754 |
| Entity Name | R&b Fleck Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225163926 PECOS PAC ID: 2466438171 Enrollment ID: O20040624001325 |
| Entity Name | Health First Urgent Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821633223 PECOS PAC ID: 6507288990 Enrollment ID: O20200611001839 |
| Entity Name | Summitview Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326651191 PECOS PAC ID: 7911316526 Enrollment ID: O20210512001257 |
| Entity Name | Three Rivers Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255051389 PECOS PAC ID: 3577921881 Enrollment ID: O20230619001741 |
| Mailing Address | Practice Location Address |
|---|---|
| Hector Manuel Gutierrez Jr, PA C 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Hector Manuel Gutierrez Jr, PA C 520 N 4th Ave, Pasco, WA 99301-5257 Ph: (509) 547-7704 |
Jesse Manuel Clossey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-946-2207 |
Eyob G Kidane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7425 Wrigley Dr, Ste 100, Pasco, WA 99301 Phone: 509-416-8888 Fax: 509-545-6842 |
Tina Tran, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4904 Kennedy Way, Pasco, WA 99301 Phone: 509-212-9585 |
William Henry Hanson, PA-C, DPM Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 N Road 68, Pasco, WA 99301 Phone: 509-543-9300 |
Ms. Jennelle Ashley Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1608 N Road 44, Pasco, WA 99301 Phone: 509-543-9280 Fax: 509-545-6275 |
Eric Pearson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 Road 68, Pasco, WA 99301 Phone: 509-543-9300 |
Carrie V West, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 4403 W Court St, Suite B, Pasco, WA 99301 Phone: 509-545-6620 Fax: 509-545-6842 |