Anne Eve Ciccarelli, MD | |
2811 Tieton Dr, Yakima, WA 98902-3761 | |
(509) 575-8100 | |
Not Available |
Full Name | Anne Eve Ciccarelli |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 2811 Tieton Dr, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649373655 | NPI | - | NPPES |
0184073 | Other | WA | LABOR&INDUSTRIES PROV# |
0442KA | Other | WA | REGENCE PROV # |
8391096 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD00043468 (Washington) | Secondary |
207P00000X | Emergency Medicine | MD00043468 (Washington) | Primary |
Entity Name | Mother Frances Hospital Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
Entity Name | Mother Frances Hospital Regional Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
Entity Name | Northeast Texas Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
Mailing Address | Practice Location Address |
---|---|
Anne Eve Ciccarelli, MD Po Box 45850, Seattle, WA 98145-0850 Ph: (206) 543-8626 | Anne Eve Ciccarelli, MD 2811 Tieton Dr, Yakima, WA 98902-3761 Ph: (509) 575-8100 |
David L Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Dr. Scott W Chapman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Nicholas Reiter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Craig W. Edgar, MD00041988 Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 Fax: 509-575-8745 | |
Dr. John Barlow Tanner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100 | |
Dr. Faye Philomena Provenza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-575-5061 | |
Dr. Kristin Shnowske, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 |