Ross Brockman, DO | |
1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | |
(253) 848-3000 | |
Not Available |
Full Name | Ross Brockman |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 9 Years |
Location | 1703 S Meridian Ste 101, Puyallup, 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 |
---|---|---|---|
1568842185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R-10324 (Iowa) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | OP61156882 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cascade Eye And Skin Centers Pc | 4486541554 | 40 |
Entity Name | Cascade Eye & Skin Centers Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033204938 PECOS PAC ID: 4486541554 Enrollment ID: O20040310000465 |
Mailing Address | Practice Location Address |
---|---|
Ross Brockman, DO 1200 Pleasant St, Des Moines, IA 50309-1406 Ph: (515) 241-5008 | Ross Brockman, DO 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 Ph: (253) 848-3000 |
Barbara J Fox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian, Suite 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 | |
June Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 Meridian St S Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 | |
Aaron Kimball Rasmussen, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2622 S Meridian, Puyallup, WA 98373 Phone: 253-841-8453 Fax: 253-840-5519 | |
Susan L. Sullivan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-446-3903 Fax: 253-840-6514 | |
Dr. Dan Algot Wiklund, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 929 E Main Ave, Suite 210, Puyallup, WA 98372 Phone: 253-848-9563 Fax: 253-840-5519 | |
Dr. Jeffrey Stephen Newman, M.D., PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 929 E Main Ave, Suite 210, Puyallup, WA 98372 Phone: 253-841-2453 Fax: 253-840-5519 | |
Dr. Thomas Lam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 |