Joel H Datloff, MD | |
8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 | |
(360) 254-5267 | |
(360) 254-6089 |
Full Name | Joel H Datloff |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 42 Years |
Location | 8614 E Mill Plain Blvd, 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 |
---|---|---|---|
1477581817 | NPI | - | NPPES |
1027416 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD00023811 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Associates Of Southwest Washington, Pllc | 5496891509 | 3 |
Entity Name | Dermatology Associates Of Southwest Washington, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992938906 PECOS PAC ID: 5496891509 Enrollment ID: O20091002000590 |
Mailing Address | Practice Location Address |
---|---|
Joel H Datloff, MD 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 Ph: (360) 254-5267 | Joel H Datloff, MD 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 Ph: (360) 254-5267 |
Dr. Lauren Elizabeth Boudreaux, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2415 Ne 134th St Ste 107, Vancouver, WA 98686 Phone: 360-576-3340 Fax: 503-362-8435 | |
Craig Stephen Hersh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-418-6001 | |
Zheng Qian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Se 172nd Ave, Vancouver, WA 98684 Phone: 360-882-2778 Fax: 360-604-1719 | |
Dr. Gabrielle Domonique Robinson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St Ste 240, Vancouver, WA 98686 Phone: 360-882-2778 | |
Karen M Vigeland, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Avenue, Bldg B Suite 303, Vancouver, WA 98664 Phone: 360-254-5267 Fax: 360-254-6089 | |
Katherine Leslie Boyd, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Se 172nd Ave, Suite 250, Vancouver, WA 98684 Phone: 360-882-2778 Fax: 360-604-1719 |