Dr Roxanne E Hertzog, MD | |
1100 Pacific Ave, Suite 100, Everett, WA 98201-4261 | |
(206) 244-1212 | |
(206) 244-1223 |
Full Name | Dr Roxanne E Hertzog |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 1100 Pacific 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 |
---|---|---|---|
1073503181 | NPI | - | NPPES |
8938073 | Other | WA | CRIME VICTIMS PROGRAM |
4682HE | Other | WA | REGENCE BLUE SHIELD |
0184996 | Other | WA | DEPT OF LABOR & INDUSTRIE |
8017535 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00032736 (Washington) | Primary |
Entity Name | Outpatient Anesthesia Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659458149 PECOS PAC ID: 6507751310 Enrollment ID: O20040219000953 |
Mailing Address | Practice Location Address |
---|---|
Dr Roxanne E Hertzog, MD Po Box 5908, Bellevue, WA 98006-0408 Ph: (206) 244-1212 | Dr Roxanne E Hertzog, MD 1100 Pacific Ave, Suite 100, Everett, WA 98201-4261 Ph: (206) 244-1212 |
James Raymond Larson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-258-3678 Fax: 425-258-3048 | |
Robert E Vanvalkenburgh, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-258-3678 Fax: 425-258-3048 | |
Robert Kurt Bechtel, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-258-3678 Fax: 425-258-3048 | |
Dr. Daniel N. Schneeweiss, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 Fax: 425-261-4462 | |
Dr. Eric Breeden, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Providence Washington Anesthesia Services, Everett, WA 98201 Phone: 425-404-5352 Fax: 425-404-5357 | |
Dr. Colin Seale Smith, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1700 13th Street Everett, Wa 98201, Everett, WA 98201 Phone: 425-621-2000 |