Carlos E Villavicencio, MD | |
4800 Sand Point Way Ne, Seattle, WA 98105-3901 | |
(206) 987-2000 | |
Not Available |
Full Name | Carlos E Villavicencio |
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Gender | Male |
Speciality | Hospitalist |
Location | 4800 Sand Point Way Ne, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912056078 | NPI | - | NPPES |
8423816 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00044735 (Washington) | Secondary |
208M00000X | Hospitalist | MD00044735 (Washington) | Primary |
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
Entity Name | Seattle Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
Mailing Address | Practice Location Address |
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Carlos E Villavicencio, MD Po Box 50010, Seattle, WA 98105-1010 Ph: (206) 987-8450 | Carlos E Villavicencio, MD 4800 Sand Point Way Ne, Seattle, WA 98105-3901 Ph: (206) 987-2000 |
Dr. Tinsley Coble, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1550 N 115th Street, Northwest Hospital, Seattle, WA 98133 Phone: 206-368-1849 | |
Cassandra Gabrielle Gozum Sunga, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 480-560-3677 | |
Philip W Royal, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Yordanos T Kahsai, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 925 Seneca St, Seattle, WA 98101 Phone: 206-624-1144 | |
Dr. James Papathanasiou, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1145 Broadway, Seattle, WA 98122 Phone: 206-329-1760 | |
Kristin T Tang, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 747 Broadway, Seattle, WA 98122 Phone: 206-386-6000 Fax: 206-215-6364 | |
Srirama Josyula, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 |