Dr Shine Sun, MD | |
1321 Colby Ave, Everett, WA 98201-1665 | |
(425) 261-2000 | |
(425) 261-4462 |
Full Name | Dr Shine Sun |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1321 Colby 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 |
---|---|---|---|
1346318557 | NPI | - | NPPES |
PENDING | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD60077186 (Washington) | Primary |
Entity Name | Providence Wa Anesthesia Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
Mailing Address | Practice Location Address |
---|---|
Dr Shine Sun, MD 10 Commerce Dr, New Rochelle, NY 10801-5214 Ph: (914) 637-3510 | Dr Shine Sun, MD 1321 Colby Ave, Everett, WA 98201-1665 Ph: (425) 261-2000 |
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. Roxanne E Hertzog, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1100 Pacific Ave, Suite 100, Everett, WA 98201 Phone: 206-244-1212 Fax: 206-244-1223 | |
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 |