Daniel Gradin, MD | |
600 Triangle Ctr, Suite 400, Longview, WA 98632-4667 | |
(360) 423-0220 | |
(360) 423-0697 |
Full Name | Daniel Gradin |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 34 Years |
Location | 600 Triangle Ctr, Longview, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275859399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD60151712 (Washington) | Primary |
207W00000X | Ophthalmology | 32843-020 (Wisconsin) | Secondary |
207W00000X | Ophthalmology | MD150509 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Entity Name | University Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881848307 PECOS PAC ID: 4880760107 Enrollment ID: O20081222000088 |
Mailing Address | Practice Location Address |
---|---|
Daniel Gradin, MD 600 Triangle Ctr, Suite 400, Longview, WA 98632-4667 Ph: (360) 423-0220 | Daniel Gradin, MD 600 Triangle Ctr, Suite 400, Longview, WA 98632-4667 Ph: (360) 423-0220 |
Dr. James Ernest Hulbert, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 600 Triangle Ctr, Ste 400, Longview, WA 98632 Phone: 360-423-0220 Fax: 360-423-0697 | |
Dong-wouk Park, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632 Phone: 360-423-0220 |