Celia Katherine Dervan, MD | |
700 Ne 87th Ave, Vancouver, WA 98664-1913 | |
(360) 882-2778 | |
(360) 604-1753 |
Full Name | Celia Katherine Dervan |
---|---|
Gender | Female |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 22 Years |
Location | 700 Ne 87th Ave, Vancouver, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902042187 | NPI | - | NPPES |
8547234 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD60076609 (Washington) | Primary |
207UN0901X | Nuclear Medicine - Nuclear Cardiology | MD60076609 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Salmon Creek Hospital | 0446295711 | 236 |
The Vancouver Clinic Inc Ps | 3173436490 | 471 |
Entity Name | The Vancouver Clinic Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
Entity Name | Legacy Salmon Creek Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194 |
Mailing Address | Practice Location Address |
---|---|
Celia Katherine Dervan, MD 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: (360) 882-2778 | Celia Katherine Dervan, MD 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: (360) 882-2778 |
Kanuboddu Nagarjuna Reddy, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave Ste 220, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. David Steiger, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 505 Ne 87th Ave Ste 301, Vancouver, WA 98664 Phone: 360-514-7374 Fax: 360-514-7384 | |
Phillip M Cullison Bonner, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
Louise M Schultz, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 | |
Marissa Krienke, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave Ste And240, Vancouver, WA 98664 Phone: 360-882-2778 | |
Joel David Mclarry, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Suite 210, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. Samuel Everett George, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 19005 Se 34th St Bldg 3, Vancouver, WA 98683 Phone: 360-726-6720 Fax: 360-726-6729 |