David P Ciaverella, DO | |
2801 N Gantenbein Ave, Portland, OR 97227-1623 | |
(503) 575-2521 | |
(503) 389-7997 |
Full Name | David P Ciaverella |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 2801 N Gantenbein Ave, Portland, Oregon |
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 |
---|---|---|---|
1689659047 | NPI | - | NPPES |
8273336 | Medicaid | WA | |
840126007 | Other | OR | REGENCE BC/BS |
287864 | Medicaid | OR | |
P00059728 | Other | OR | RR MC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | DO22260 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Adventist Health Tillamook | Tillamook, OR | Hospital |
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ts Radiology Billings Llc | 0840221230 | 9 |
Pacific Imaging Associates Llc | 3577923499 | 21 |
Northwest Medical Foundation Of Tillamook | 5092619569 | 74 |
Entity Name | Northwest Medical Foundation Of Tillamook |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
Entity Name | Radiology Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023050457 PECOS PAC ID: 8628063450 Enrollment ID: O20040420000040 |
Entity Name | Ts Radiology Billings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669413514 PECOS PAC ID: 0840221230 Enrollment ID: O20050825000446 |
Entity Name | Pacific Imaging Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265137574 PECOS PAC ID: 3577923499 Enrollment ID: O20230829002458 |
Mailing Address | Practice Location Address |
---|---|
David P Ciaverella, DO Po Box 10768, Portland, OR 97296-0768 Ph: (503) 575-2521 | David P Ciaverella, DO 2801 N Gantenbein Ave, Portland, OR 97227-1623 Ph: (503) 575-2521 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Erik W Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-2570 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |