Regina Maria N San Pedro, MD | |
413 Lilly Rd Ne, Olympia, WA 98506-5133 | |
(360) 493-7060 | |
(360) 493-7562 |
Full Name | Regina Maria N San Pedro |
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Gender | Female |
Speciality | Psychiatry |
Experience | 12 Years |
Location | 413 Lilly Rd Ne, Olympia, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548793649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD61156264 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
Mailing Address | Practice Location Address |
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Regina Maria N San Pedro, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Regina Maria N San Pedro, MD 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 493-7060 |
Miss Madeline Tuong- Vi Nguyen, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8550 Fax: 360-413-8827 | |
Adam Burkey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 155 Lilly Rd Ne Ste A, Olympia, WA 98506 Phone: 206-538-6300 Fax: 206-538-6301 | |
Zhongzeng Li, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8551 | |
Dr. David Eugene Penner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1801 W Bay Dr Nw Ste 104, Olympia, WA 98502 Phone: 360-539-1736 Fax: 360-350-5610 | |
Tilahun Haile Abraha, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 317 Nine Bark St Nw, Olympia, WA 98502 Phone: 703-298-2838 | |
Ritawari Mohan Sharangpani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2617 12th Ct Sw Ste B6, Olympia, WA 98502 Phone: 360-705-3690 Fax: 360-352-7881 | |
Corey White, DO, MBA Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8550 Fax: 360-413-8827 |