Tavis Dickerson-young, MD | |
4800 Sand Point Way Ne # Mb.7.520, Seattle, WA 98105-3901 | |
(206) 987-2599 | |
Not Available |
Full Name | Tavis Dickerson-young |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 10 Years |
Location | 4800 Sand Point Way Ne # Mb.7.520, Seattle, 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 |
---|---|---|---|
1689092363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60741027 (Washington) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD60741027 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Association Of Chrmc And University Physicians | 9133032964 | 219 |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | The Association Of Chrmc And University Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
Mailing Address | Practice Location Address |
---|---|
Tavis Dickerson-young, MD 4800 Sand Point Way Ne, Mailstop Mb.7.520, Seattle, WA 98105-3901 Ph: () - | Tavis Dickerson-young, MD 4800 Sand Point Way Ne # Mb.7.520, Seattle, WA 98105-3901 Ph: (206) 987-2599 |
Dr. James Toliver Bennett Jr., M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Genetic Medicine, Seattle, WA 98105 Phone: 206-987-2056 | |
Dr. Leslie Ann Dervan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105 Phone: 206-987-0293 | |
Dr. Indi Trehan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Seattle, WA 98105 Phone: 206-987-2000 | |
Isabelle Maria Kiefaber, Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105 Phone: 206-987-2525 | |
Alexa Mason, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2671 Ne 46th St, Seattle, WA 98105 Phone: 206-525-8000 Fax: 206-525-8070 | |
Dr. Gloria A. Arand, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 16th Ave E, Seattle, WA 98112 Phone: 206-326-3530 | |
Marcella Theresia Mascher Denen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065 |