| Daniel Gradin, MD | |
|
600 Triangle Ctr, Suite 400, Longview, WA 98632-4667 | |
| (360) 423-0220 | |
| (360) 423-0697 |
| Full Name | Daniel Gradin |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 36 Years |
| Location | 600 Triangle Ctr, Longview, 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 |
|---|---|---|---|
| 1275859399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD60151712 (Washington) | Primary |
| 207W00000X | Ophthalmology | 32843-020 (Wisconsin) | Secondary |
| 207W00000X | Ophthalmology | MD150509 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Professional Services | 4880760107 | 1609 |
| University Professional Services | 4880760107 | 1609 |
| Entity Name | University Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Gradin, MD 600 Triangle Ctr, Suite 400, Longview, WA 98632-4667 Ph: (360) 423-0220 | Daniel Gradin, MD 600 Triangle Ctr, Suite 400, Longview, WA 98632-4667 Ph: (360) 423-0220 |
Dr. James Ernest Hulbert, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 600 Triangle Ctr, Ste 400, Longview, WA 98632 Phone: 360-423-0220 Fax: 360-423-0697 | |
Dong-wouk Park, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632 Phone: 360-423-0220 | |
Stephanie K Cramer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632 Phone: 360-423-0220 Fax: 360-423-0697 |