Dr Benigno Waldo A Dagan, MD | |
1420 Main St, Sumner, WA 98390 | |
(253) 987-5156 | |
(253) 987-5462 |
Full Name | Dr Benigno Waldo A Dagan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 1420 Main St, Sumner, 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 |
---|---|---|---|
1235182122 | NPI | - | NPPES |
5496722 | Other | WA | AETNA PROVIDER NUMBER |
0185591 | Other | WA | L & I PROVIDER NUMBER |
2004507 | Medicaid | WA | |
98390A015 | Other | WA | TRICARE PROVIDER NUMBER |
9869DA | Other | WA | REGENCE RIDER NUMBER |
911203494BP | Other | WA | KPS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00036169 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Multicare Good Samaritan Home Health | Tacoma, WA | Home health agency |
Signature Home Heatlh | Federal way, WA | Home health agency |
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Dr Benigno Waldo A Dagan, MD 1420 Main St, Sumner, WA 98390 Ph: (253) 987-5156 | Dr Benigno Waldo A Dagan, MD 1420 Main St, Sumner, WA 98390 Ph: (253) 987-5156 |
Robert W. Corliss, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5814 Graham Ave, Suite 100, Sumner, WA 98390 Phone: 253-863-4474 Fax: 253-863-4062 |