| Kenneth R Brewer, DPM | |
| 
					1708 Yakima Ave, Ste 110, Tacoma, WA 98405-5307  | |
| (253) 627-9151 | |
| Not Available | 
| Full Name | Kenneth R Brewer | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 1708 Yakima Ave, Tacoma, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760415657 | NPI | - | NPPES | 
| 480033767 | Other | WA | MEDICARE RAILROAD | 
| 480033768 | Other | WA | MEDICARE RAILROAD | 
| 8936260 | Other | WA | STATE CRIME VICTIMS | 
| 8936261 | Other | WA | STATE CRIME VICTIMS | 
| 0226419 | Other | WA | STATE L&I | 
| 158900 | Other | WA | STATE L&I | 
| 0158901 | Other | WA | STATE L&I | 
| 8311193 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO00000585 (Washington) | Primary | 
| Provider Name | Franciscan Medical Group | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth R Brewer, DPM 1708 Yakima Ave, Ste 110, Tacoma, WA 98405-5307 Ph: (253) 627-9151  | Kenneth R Brewer, DPM 1708 Yakima Ave, Ste 110, Tacoma, WA 98405-5307 Ph: (253) 627-9151  | 
Robert Mcbride, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 4050 S 19th St Ste 202, Tacoma, WA 98405 Phone: 253-565-3355 Fax: 253-564-6744  | |
Philip R. Yearian Dpm Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2420 S Union Ave, Ste 300, Tacoma, WA 98405 Phone: 253-756-0888 Fax: 253-752-1704  | |
Mr. Randolph Charles Fish, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 915 So. 76th St., Tacoma, WA 98408 Phone: 253-584-9530 Fax: 360-427-2769  | |
Eric Edward Leonheart, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9040 Jackson Avenue Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-1110  | |
Mario Natale Ponticello, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3505  | |
Dr. Nicholas S Heath, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7800 Pacific Ave, Suite 1, Tacoma, WA 98408 Phone: 253-473-5566 Fax: 253-882-0988  | |
Tacoma Foot And Ankle Clinic Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1206 S 11th St, Suite 2, Tacoma, WA 98405 Phone: 253-272-0606 Fax: 253-272-2118  |