Dr Joseph Frank Divita, MD | |
3901 Hoyt Ave, Everett, WA 98201-4918 | |
(425) 259-1177 | |
(425) 339-5444 |
Full Name | Dr Joseph Frank Divita |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3901 Hoyt Ave, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528095288 | NPI | - | NPPES |
1012546 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00016901 (Washington) | Primary |
Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Frank Divita, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Dr Joseph Frank Divita, MD 3901 Hoyt Ave, Everett, WA 98201-4918 Ph: (425) 259-1177 |
Dr. Kurt R. Duffens, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
Arunachalam Einstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
Daniel A Zak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
James Goldberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1716 W Marine View Dr Ste C, Everett, WA 98201 Phone: 425-259-0212 | |
Dr. Joseph Primo Mazzoncini Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
Eric Cooper, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
Priyanka Malini Ravindran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 |