Andrew T Sledd, MD | |
1007 39th Ave Se, Puyallup, WA 98374-2192 | |
(253) 435-3100 | |
(253) 435-3298 |
Full Name | Andrew T Sledd |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1007 39th Ave Se, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194946467 | NPI | - | NPPES |
888783 | Other | MO | ANTHEM BCBS |
1194946467 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C141414 (California) | Secondary |
208000000X | Pediatrics | MD60765787 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Andrew T Sledd, MD 27309 Madison Ave, Temecula, CA 92590-5685 Ph: (833) 574-2273 | Andrew T Sledd, MD 1007 39th Ave Se, Puyallup, WA 98374-2192 Ph: (253) 435-3100 |
Mr. Michael Lane Pearson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12904 94th Ave East, Puyallup, WA 98373 Phone: 253-841-3999 Fax: 253-841-7311 | |
Angela A Viniarski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1706 Meridian S, Suite 120, Puyallup, WA 98371 Phone: 253-848-8797 Fax: 253-446-3239 | |
Dr. Victoria Devere, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 5th St Se, Puyallup, WA 98372 Phone: 253-848-8797 | |
Roselynn Wee Sim Cuenca, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 1910 Meridian St S, Ste A, Puyallup, WA 98371 Phone: 253-848-2303 | |
Edward J Husarik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1706 Meridian S, Suite 120, Puyallup, WA 98371 Phone: 253-848-8797 Fax: 253-446-3239 | |
Taylor Ryan Mclain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 Phone: 253-848-8797 |