Jaime A Nicacio, MD | |
400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | |
(360) 514-3142 | |
(360) 514-6809 |
Full Name | Jaime A Nicacio |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 28 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 |
---|---|---|---|
1245314608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | M-16759 (Idaho) | Secondary |
208100000X | Physical Medicine & Rehabilitation | MD00038624 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 9739092065 | 85 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
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 |
---|---|
Jaime A Nicacio, MD 200 Ne Mother Joseph Pl, Suite 100, Vancouver, WA 98664-3299 Ph: (360) 514-3142 | Jaime A Nicacio, MD 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 Ph: (360) 514-3142 |
Dr. Deven A Karvelas, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Ste 210, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1139 | |
Dr. Sloane Yu, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 | |
Natalie E Boodin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, #100, Vancouver, WA 98664 Phone: 360-514-3142 | |
Dr. Mona Mirchandani, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7101 Ne 137th Ave, Vancouver, WA 98682 Phone: 503-571-4229 | |
John L Hart, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-514-3142 Fax: 360-514-6809 | |
Keith Joseph Pagel, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1601 E Fourth Plain Blvd, Vancouver, WA 98661 Phone: 503-220-8262 |