Dr Rodolfo Nieto Trevino, MD is a
Family Medicine physician based in Inchelium, Washington. Dr Rodolfo Nieto Trevino is licensed to practice in Washington (license number MD00048467) and his current practice location is 39 Shortcut Road, Inchelium, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 722-7006.
NPI number for Dr Rodolfo Nieto Trevino is 1922114537 and his current mailing address is Po Box 290, Inchelium, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922114537.
Physician's Profile
| Full Name | Dr Rodolfo Nieto Trevino |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 39 Shortcut Road, Inchelium, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922114537
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 03/27/2013
Medical Identifiers
Medical identifiers for Dr Rodolfo Nieto Trevino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922114537 | NPI | - | NPPES |
| 2014383 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD00048467 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rodolfo Nieto Trevino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rodolfo Nieto Trevino, MD
Po Box 290,
Inchelium, WA 99138-0290
Ph: (509) 722-7006 | Dr Rodolfo Nieto Trevino, MD
39 Shortcut Road,
Inchelium, WA 99138-0290
Ph: (509) 722-7006 |
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