| Alfred S Roller, MD | |
|
801 E Wheeler Rd, Moses Lake, WA 98837-1820 | |
| (509) 766-1301 | |
| (509) 766-1306 |
| Full Name | Alfred S Roller |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 45 Years |
| Location | 801 E Wheeler Rd, Moses Lake, 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 |
|---|---|---|---|
| 1497702500 | NPI | - | NPPES |
| 0228471 | Other | WA | LIWA |
| 2655RO | Other | WA | BSWA |
| 3076RO | Other | WA | BSWA |
| 1131200 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00020773 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Astria Sunnyside Hospital | Sunnyside, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunnyside Emergency Group A Professional Llc | 0941424451 | 17 |
| Entity Name | Northwest Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Washington Emergency Physician Partners PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635 |
| Entity Name | Sunnyside Emergency Group a Professional LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033529367 PECOS PAC ID: 0941424451 Enrollment ID: O20140623002600 |
| Entity Name | Olney Emergency Group, a Professional LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386108868 PECOS PAC ID: 8426399965 Enrollment ID: O20190409003071 |
| Mailing Address | Practice Location Address |
|---|---|
| Alfred S Roller, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Alfred S Roller, MD 801 E Wheeler Rd, Moses Lake, WA 98837-1820 Ph: (509) 766-1301 |
Caroline Hannon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606 Fax: 509-764-3244 |
Jeffrey Evans, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 |
Kent C Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 |
Bo J Beus, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606 Fax: 509-764-3244 |
Frank Cruz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 |
Robert George Deichert Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606 Fax: 509-764-3244 |
Fermin Steven Godinez, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-766-1301 Fax: 509-766-1306 |