Raphael U Peralta, MD | |
7210 40th St W Ste 100, University Place, WA 98466-4319 | |
(253) 564-0170 | |
Not Available |
Full Name | Raphael U Peralta |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 7210 40th St W Ste 100, University Place, 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 |
---|---|---|---|
1386807725 | NPI | - | NPPES |
2039224 | Medicaid | WA | |
0334185 | Other | WA | STATE L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 54221 (Minnesota) | Secondary |
207Q00000X | Family Medicine | RL10913 (North Dakota) | Secondary |
207Q00000X | Family Medicine | MD60444232 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Raphael U Peralta, MD 7210 40th St W Ste 100, University Place, WA 98466-4319 Ph: (253) 564-0170 | Raphael U Peralta, MD 7210 40th St W Ste 100, University Place, WA 98466-4319 Ph: (253) 564-0170 |
Karen Lea Semones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3556 Market Pl W Ste 109, University Place, WA 98466 Phone: 253-215-1122 | |
Dr. Michael Reid Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5350 Orchard St W, Suite 202, University Place, WA 98467 Phone: 253-472-4444 Fax: 253-301-4360 | |
Dr. Andrea Tiffany Friesen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4114 Bridgeport Way W, University Place, WA 98466 Phone: 253-564-8100 Fax: 253-564-8387 | |
Michael W Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W, Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Dr. Paul William Schmidt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Dr. Robert Harrison Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4401 Bridgeport Way W, Suite 100, University Place, WA 98466 Phone: 253-564-4157 Fax: 253-564-4813 |