| Mr Thomas A White, PA | |
|
888 Swift Blvd, Richland, WA 99352 | |
| (509) 946-4611 | |
| Not Available |
| Full Name | Mr Thomas A White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| 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 |
|---|---|---|---|
| 1205875564 | NPI | - | NPPES |
| 281257001 | Medicaid | TX | |
| 281257004 | Medicaid | TX | |
| 281257002 | Medicaid | TX | |
| 281257003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 55358631206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | PA06430 (Texas) | Primary |
| Entity Name | Questcare Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas A White, PA 5615 Dunbarton Ave, Pasco, WA 99301-8216 Ph: (509) 222-1275 | Mr Thomas A White, PA 888 Swift Blvd, Richland, WA 99352 Ph: (509) 946-4611 |
Amy L. Hoger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 969 Stevens Dr Ste 3a, Richland, WA 99352 Phone: 509-713-1315 Fax: 877-673-0795 |
Andrew Drury Hansen, PA - C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 705 Gage Blvd, Suite 200, Richland, WA 99352 Phone: 509-628-2331 Fax: 509-628-0537 |
Alex Ann Swanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Dr Ste E, Richland, WA 99352 Phone: 509-942-3095 Fax: 509-942-3097 |
Anna K Shoolroy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1135 Jadwin Ave, Richland, WA 99352 Phone: 509-942-3300 Fax: 509-946-1868 |
Daniel R. Elliott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Dr Ste B, Richland, WA 99352 Phone: 509-942-3080 Fax: 509-942-3085 |
Anthony Makhoul, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Dr Ste F, Richland, WA 99352 Phone: 509-942-3272 Fax: 509-942-3273 |
Mrs. Jacklyn Hutchens Harrington, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2159 Fax: 509-942-2757 |