Tristan M Mcgovern, MD | |
832 Georgiana St, Port Angeles, WA 98362-3512 | |
(360) 457-0804 | |
(360) 457-7023 |
Full Name | Tristan M Mcgovern |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 832 Georgiana St, Port Angeles, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215981774 | NPI | - | NPPES |
200040914 | Other | RAILROAD MEDICARE | |
8250219 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD00038097 (Washington) | Primary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD00038097 (Washington) | Secondary |
Entity Name | Strait Orthopedic Specialists. Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437102274 PECOS PAC ID: 2062309941 Enrollment ID: O20040304000115 |
Mailing Address | Practice Location Address |
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Tristan M Mcgovern, MD 832 Georgiana St, Port Angeles, WA 98362-3512 Ph: (360) 457-0804 | Tristan M Mcgovern, MD 832 Georgiana St, Port Angeles, WA 98362-3512 Ph: (360) 457-0804 |
Dr. Samuel R Baker, MD00011025 Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dustin L Larson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-457-1599 | |
Adam Cota, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-457-1599 | |
Dr. Thomas Alan Herschmiller, MBBS (MD EQUIVALENT) Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-457-1599 | |
Mr. Joseph Charles Novak, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 535 E Park Ave, Port Angeles, WA 98362 Phone: 360-452-1000 | |
Dr. Richard Ney Canaan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 909 Georglanee Street, Vimo Clinic, Port Angeles, WA 98362 Phone: 360-457-4431 |