Ernesto G Dizon Jr, MD | |
3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 | |
(509) 221-6550 | |
(509) 221-6511 |
Full Name | Ernesto G Dizon Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 33 Years |
Location | 3730 Plaza Way Fl 5, Kennewick, 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 |
---|---|---|---|
1326070871 | NPI | - | NPPES |
159884778D | Medicaid | GA | |
159884778C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 053848 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Astria Sunnyside Hospital | Sunnyside, WA | Hospital |
Trios Health | Kennewick, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sunnyside Community Hospital Association | 1658280896 | 46 |
Shc Medical Center Toppenish | 4082980065 | 30 |
Entity Name | Sunnyside Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
Entity Name | Shc Medical Center Toppenish |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
Entity Name | Rcch Trios Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831682806 PECOS PAC ID: 5799035416 Enrollment ID: O20180830000618 |
Mailing Address | Practice Location Address |
---|---|
Ernesto G Dizon Jr, MD 7203 W Deschutes Ave, Kennewick, WA 99336-7777 Ph: (509) 737-1880 | Ernesto G Dizon Jr, MD 3730 Plaza Way Fl 5, Kennewick, WA 99338-2718 Ph: (509) 221-6550 |
Mr. Steven J Kincaid, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 216 W 10th Ave, Ste 206, Kennewick, WA 99336 Phone: 509-585-5320 Fax: 509-585-5329 | |
Dr. Janel Burgdorff, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 911 S Washington St, Suite B, Kennewick, WA 99336 Phone: 509-586-2828 Fax: 509-586-2525 | |
Jozef William Pavnica, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3730 Plaza Way Fl 5, Kennewick, WA 99338 Phone: 509-221-6550 Fax: 509-221-6511 | |
Mr. Leandro Tuazon Cabanilla, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3730 Plaza Way, Kennewick, WA 99338 Phone: 509-221-6550 Fax: 509-221-6230 | |
Jillian Lee Thayer, MD Surgery Medicare: Medicare Enrolled Practice Location: 3730 Plaza Way Fl 5, Kennewick, WA 99338 Phone: 267-441-4583 | |
James Michael Scully, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 216 W 10th Ave, Suite 202, Kennewick, WA 99336 Phone: 509-585-5954 Fax: 509-586-5869 |