N W Pediatric Center, Inc. P.s. is a
Pediatrics based in Rochester, Washington. N W Pediatric Center, Inc. P.s. is licensed to practice in Washington (license number MD00027525) and their current practice location is
18313 Paulson St Sw, Rochester, Washington. It can be reached at their office (for appointments etc.) via phone at
(360) 736-6778.
NPI number for N W Pediatric Center, Inc. P.s. is 1194091637 and their current mailing address is 1911 Cooks Hill Rd, Centralia, Washington. N W Pediatric Center, Inc. P.s.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1194091637.
Healthcare Provider's Profile
| Full Name | N W Pediatric Center, Inc. P.s. |
|---|
| Type | Facility |
|---|
| Speciality | Pediatrics |
|---|
| Location | 18313 Paulson St Sw, Rochester, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194091637
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 07/31/2012
Medical Identifiers
Medical identifiers for N W Pediatric Center, Inc. P.s. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194091637 | NPI | - | NPPES |
| 8349342 | Medicaid | WI | |
| 1058825 | Medicaid | WI | |
| 8488298 | Medicaid | WA | |
| 9636994 | Medicaid | WA | |
| 1072958 | Medicaid | WA | |
| 9653551 | Medicaid | WA | |
| 9661323 | Medicaid | WA | |
| 8141947 | Medicaid | WA | |
| 8251324 | Medicaid | WA | |
| 9643156 | Medicaid | WA | |
| 8173882 | Medicaid | WA | |
| 8398356 | Medicaid | WA | |
| 961422 | Medicaid | WA | |
| 2010815 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | D160180464 (Washington) | Secondary |
| 208000000X | Pediatrics | MD00043677 (Washington) | Secondary |
| 208000000X | Pediatrics | MD00048049 (Washington) | Secondary |
| 208000000X | Pediatrics | MD00038226 (Washington) | Secondary |
| 208000000X | Pediatrics | MD00029916 (Washington) | Secondary |
| 208000000X | Pediatrics | MD00027525 (Washington) | Primary |
| 208000000X | Pediatrics | MD00028578 (Washington) | Secondary |
| 208000000X | Pediatrics | MD00032554 (Washington) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD00039351 (Washington) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP60093357 (Washington) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP60086265 (Washington) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP30007039 (Washington) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP30006273 (Washington) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP30004257 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. N W Pediatric Center, Inc. P.s. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
N W Pediatric Center, Inc. P.s.
1911 Cooks Hill Rd,
Centralia, WA 98531-9073
Ph: (360) 736-6778 | N W Pediatric Center, Inc. P.s.
18313 Paulson St Sw,
Rochester, WA 98579-9262
Ph: (360) 736-6778 |
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