Geraldine Y Gatmaitan Dizon, MD | |
7425 Wrigley Dr Ste 101, Pasco, WA 99301-5292 | |
(509) 546-8399 | |
(509) 545-6842 |
Full Name | Geraldine Y Gatmaitan Dizon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 7425 Wrigley Dr Ste 101, Pasco, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942277157 | NPI | - | NPPES |
207707713A | Medicaid | GA | |
207707713B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 053816 (Georgia) | Secondary |
208000000X | Pediatrics | MD60002198 (Washington) | Primary |
Entity Name | Lourdes Hospital Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1831284280 PECOS PAC ID: 1850642562 Enrollment ID: O20180919002474 |
Entity Name | Lourdes Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
Mailing Address | Practice Location Address |
---|---|
Geraldine Y Gatmaitan Dizon, MD 520 N 4th Ave, Pasco, WA 99301-5257 Ph: (509) 416-8849 | Geraldine Y Gatmaitan Dizon, MD 7425 Wrigley Dr Ste 101, Pasco, WA 99301-5292 Ph: (509) 546-8399 |
Dr. Rolando Llanes Cayetano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 531 W Park St, Suite #3, Pasco, WA 99301 Phone: 509-545-9012 Fax: 509-545-9373 | |
Tamara M Cooks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
Dr. Ziba Ghanbari Iraee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-942-3203 | |
Dr. Aaron Scott Richardson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301 Phone: 509-942-3627 Fax: 509-942-3203 | |
Maria N Guevara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-545-3960 | |
Sean Patrick Brady, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Parkway, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-543-9795 | |
Dr. Paolo Antonio De Belen De Vera, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7425 Wrigley Dr Ste 101, Pasco, WA 99301 Phone: 509-546-8399 |