Dr Rodolfo Anibal Trivisonno, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lake Stevens, Washington. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. His current practice location is
319 119th Drive Se, Lake Stevens, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 948-7893.
Dr Rodolfo Anibal Trivisonno is licensed to practice in Washington (license number MD00034739) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578610721.
Physician's Profile
| Full Name | Dr Rodolfo Anibal Trivisonno |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry |
|---|
| Experience | 38 Years |
|---|
| Location | 319 119th Drive Se, Lake Stevens, 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. |
|---|
Medical Education and Training:
- Dr Rodolfo Anibal Trivisonno graduated from medical school in 1986
NPI Data:
- NPI Number: 1578610721
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062486194
- Enrollment ID: I20040824000488
Medical Identifiers
Medical identifiers for Dr Rodolfo Anibal Trivisonno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578610721 | NPI | - | NPPES |
| 202833 | Other | WA | LABOR AND INDUSTRIES |
| 8214850 | Medicaid | WA | |
| 4890RT | Other | WA | REGENCE |
| 553011 | Other | WA | VALUE OPTION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD00034739 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rodolfo Anibal Trivisonno is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rodolfo Anibal Trivisonno, MD
Po Box 160,
Lake Stevens, WA 98258-7717
Ph: (425) 252-9216 | Dr Rodolfo Anibal Trivisonno, MD
319 119th Drive Se,
Lake Stevens, WA 98258-7717
Ph: (425) 948-7893 |
Reviews and Comments