| Compassion Family Medicine, Pllc | |
|
3810 Kern Way Ste B Yakima WA 98902-7805 | |
| (509) 823-0550 | |
| Not Available |
| Full Name | Compassion Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3810 Kern Way Ste B, Yakima, Washington |
| Authorized Official Name and Position | Twylla Lynch (ADMINISTRATOR) |
| Authorized Official Contact | 5098230550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Family Medicine, Pllc 3810 Kern Way Ste B Yakima WA 98902-7805 Ph: () - | Compassion Family Medicine, Pllc 3810 Kern Way Ste B Yakima WA 98902-7805 Ph: (509) 823-0550 |
| NPI Number | 1447719703 |
|---|---|
| Provider Enumeration Date | 03/17/2019 |
| Last Update Date | 03/17/2019 |
| Medicare PECOS PAC ID | 1658605621 |
|---|---|
| Medicare Enrollment ID | O20190625001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447719703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Frederick J Thysell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285643544 PECOS PAC ID: 9133112840 Enrollment ID: I20040407001107 |
| Provider Name | Robert Joseph Rookstool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154397818 PECOS PAC ID: 3678542537 Enrollment ID: I20040928000286 |
| Provider Name | Larry Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952402802 PECOS PAC ID: 4587845045 Enrollment ID: I20180911003880 |
| Provider Name | Sonia Li Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164909206 PECOS PAC ID: 3779821137 Enrollment ID: I20190208002225 |
| Provider Name | Kaylee L Vantrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558635508 PECOS PAC ID: 2264766260 Enrollment ID: I20190625002927 |
| Provider Name | David M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805288 PECOS PAC ID: 4981935855 Enrollment ID: I20191007002382 |
| Provider Name | Gavin A. Bakker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518649771 PECOS PAC ID: 5799132528 Enrollment ID: I20231115002579 |
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