Rolando I Celis Valdiviezo, MD | |
1330 Rockefeller Ave Ste 520, Everett, WA 98201 | |
(425) 297-5200 | |
Not Available |
Full Name | Rolando I Celis Valdiviezo |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 22 Years |
Location | 1330 Rockefeller Ave Ste 520, Everett, 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 |
---|---|---|---|
1497975361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD60254843 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services- Washington | 8325100480 | 424 |
Entity Name | Franciscan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
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Rolando I Celis Valdiviezo, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Rolando I Celis Valdiviezo, MD 1330 Rockefeller Ave Ste 520, Everett, WA 98201 Ph: (425) 297-5200 |
Jamie Robinson, Surgery Medicare: Medicare Enrolled Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-404-8227 | |
John L Goodman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1330 Rockefeller Ave Ste 120, Everett, WA 98201 Phone: 425-339-5422 | |
Elizabeth Neuger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave, Everett, WA 98201 Phone: 425-339-5442 | |
Dr. Perry A Soriano, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave, Everett, WA 98201 Phone: 425-339-5442 Fax: 425-339-1363 | |
David F Pratt, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4005 Colby Ave, Everett, WA 98201 Phone: 425-258-3446 Fax: 425-252-7321 | |
Katherine Ione Moreno, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3216 Norton Ave, Ste 202, Everett, WA 98201 Phone: 425-297-5330 | |
Dr. Kenny P Koo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1330 Rockefeller Ave, #120, Everett, WA 98201 Phone: 425-339-5442 |