Trent D Rogers, MD | |
55 West Tietan Street, Walla Walla, WA 99362-4445 | |
(509) 525-3720 | |
(509) 522-1593 |
Full Name | Trent D Rogers |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 27 Years |
Location | 55 West Tietan Street, Walla Walla, 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 |
---|---|---|---|
1487619417 | NPI | - | NPPES |
129168 | Other | BLUE CROSS BLUE SHIELD | |
204956502 | Medicaid | MO | |
3269222 | Other | CIGNA | |
H13706 | Other | MERCY | |
1834225 | Other | FIRST HEALTH | |
4435458 | Other | HEALTHLINK | |
204956502 | Other | MO | MEDICAID |
207515500 | Other | MO | MEDICAID |
440546366 | Other | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2000150925 (Missouri) | Secondary |
208000000X | Pediatrics | MD60150941 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Washington Pllc | 2264320837 | 49 |
Entity Name | Privia Medical Group Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
Mailing Address | Practice Location Address |
---|---|
Trent D Rogers, MD 55 West Tietan Street, Walla Walla, WA 99362-4445 Ph: (509) 525-3720 | Trent D Rogers, MD 55 West Tietan Street, Walla Walla, WA 99362-4445 Ph: (509) 525-3720 |
Timothy Isamu O'connor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 | |
Rebekah Dickman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Donald K Ashley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010 | |
Dr. Alison E Kirby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1578 | |
Kristin Marie Satterfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8152 | |
Dr. Christopher P Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 |