Dr Tyler Douglass Gibb, MD | |
400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | |
(360) 425-5131 | |
(360) 425-5509 |
Full Name | Dr Tyler Douglass Gibb |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 33 Years |
Location | 400 Ne Mother Joseph Pl, Vancouver, 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 |
---|---|---|---|
1255311288 | NPI | - | NPPES |
0383459 | Other | WA | L&I-RADIA SEATTLE |
0422055 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
0383458 | Other | WA | L&I-RADIA VANCOUVER |
0415512 | Other | WA | L&I-SOUTH SOUND RADIOLOGY |
1005976 | Medicaid | WA | |
150946 | Medicaid | OR | |
0422056 | Other | WA | L&I-EVERGREEN RADIA |
0402006 | Other | WA | L&I-SEATTLE RADIOLOGY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD00034512 (Washington) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | MD00034512 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Swedish Issaquah | Issaquah, WA | Hospital |
Swedish Medical Center | Seattle, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Swedish Health Services | 3173433067 | 115 |
Radia Inc P S | 9931012812 | 256 |
Entity Name | Radia Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
Entity Name | Evergreen Radia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20031125000896 |
Entity Name | Swedish Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
Entity Name | South Sound Radiologists Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20040309001119 |
Entity Name | Swedish Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114356904 PECOS PAC ID: 3173433067 Enrollment ID: O20040414000671 |
Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20060106000841 |
Entity Name | Radia Imaging Center Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20190118000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Tyler Douglass Gibb, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Dr Tyler Douglass Gibb, MD 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 Ph: (360) 425-5131 |
Dr. Rebecca Gerber Kahn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4816 Ne Thurston Way Ste A, Vancouver, WA 98662 Phone: 360-254-4914 Fax: 360-892-1533 | |
Dr. Aaron M Kaplan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave # 140, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1694 | |
Rod I. Belkin, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4816a Ne Thurston Way, Vancouver, WA 98662 Phone: 360-254-4914 Fax: 360-449-4961 | |
Dr. Amar Yeshwant Purandare, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-892-9664 | |
Faisal Amin Siddiqui, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 Se 136th Ave, Vancouver, WA 98684 Phone: 360-944-9889 | |
John Wr Schroeder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4816a Ne Thurston Way, Vancouver, WA 98662 Phone: 360-254-4914 Fax: 360-449-4961 | |
Stephen Christopher Hoffelt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-514-1900 |