William J Delgado, MD | |
19917 7th Ave Ne Ste 203, Poulsbo, WA 98370-6555 | |
(360) 824-5474 | |
(360) 994-4975 |
Full Name | William J Delgado |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 29 Years |
Location | 19917 7th Ave Ne Ste 203, Poulsbo, 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 |
---|---|---|---|
1184643249 | NPI | - | NPPES |
133961 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD20951 (Oregon) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD61532112 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohsu Hospital And Clinics | Portland, OR | Hospital |
St Charles Medical Center - Bend | Bend, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Derm - Blackhart Pllc | 1153609813 | 105 |
Mountain West Derm - Blackhart Pllc | 1153609813 | 105 |
Entity Name | Mountain West Derm - Blackhart Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447764741 PECOS PAC ID: 1153609813 Enrollment ID: O20171219002516 |
Mailing Address | Practice Location Address |
---|---|
William J Delgado, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | William J Delgado, MD 19917 7th Ave Ne Ste 203, Poulsbo, WA 98370-6555 Ph: (360) 824-5474 |
Dr. Paetra Jane Ruddy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19917 7th Ave Ne Ste 203, Poulsbo, WA 98370 Phone: 360-824-5474 Fax: 360-994-4975 | |
Dianne R. Levisohn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19917 7th Ave Ne, Ste 203, Poulsbo, WA 98370 Phone: 360-824-5474 Fax: 360-326-2451 | |
Dr. Andrea Dawn Smith, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 21800 Market Pl Nw Ste 103, Poulsbo, WA 98370 Phone: 360-291-5700 Fax: 360-637-0863 | |
Simone A Ince, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19917 7th Ave Ne, Ste 203, Poulsbo, WA 98370 Phone: 360-824-5474 Fax: 360-326-2451 | |
Dr. Ronald William Reinhart, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 19365 7th Avenue Ne, Suite 102, Poulsbo, WA 98370 Phone: 360-779-5556 Fax: 360-697-2514 | |
Lynn Susanne Sudduth, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3500 |