| Danish Mirza, DO | |
|
2805 Ne 129th St, Vancouver, WA 98686-3324 | |
| (971) 910-3090 | |
| Not Available |
| Full Name | Danish Mirza |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 2805 Ne 129th St, Vancouver, 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 |
|---|---|---|---|
| 1184005332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OP61505037 (Washington) | Secondary |
| 207R00000X | Internal Medicine | DO185061 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Anthony Hospital | Pendleton, OR | Hospital |
| Samaritan Hospital | Moses lake, WA | Hospital |
| Adventist Health Tillamook | Tillamook, OR | Hospital |
| Vibra Specialty Hospital Of Portland | Portland, OR | Long-term care hospital |
| Lacamas Creek Post Acute | Camas, WA | Nursing home |
| Fairlawn Health And Rehab Of Cascadia | Gresham, OR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Physicians Group-pannu Pllc | 0345467486 | 141 |
| Impact Physician Group Llc | 6204199086 | 26 |
| Vibra Physicians Llc | 8921233933 | 30 |
| Daiya Healthcare Pllc | 6002158615 | 80 |
| Grant County Public Hospital District 1 | 9931095692 | 112 |
| Wa Pacs 2 Pc | 6901156538 | 26 |
| Apogee Medical Group Pc | 8820980188 | 21 |
| Impact Physician Group Washington Llc | 7315333838 | 6 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 141 |
| Crm Physicians Llc | 3678720729 | 59 |
| Washington Pac Services Pc | 4082986070 | 43 |
| Cs Pacs 3 Northwest Llc | 8729526496 | 26 |
| Entity Name | Northwest Medical Foundation of Tillamook |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
| Entity Name | Sky Lakes Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Entity Name | Apogee Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558302174 PECOS PAC ID: 8820980188 Enrollment ID: O20040330000185 |
| Entity Name | Northwest Medical Foundation of Tillamook |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20061104000229 |
| Entity Name | Crm Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952674996 PECOS PAC ID: 3678720729 Enrollment ID: O20120824000811 |
| Entity Name | Vibra Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20140528001804 |
| Entity Name | Rural Physicians Group-pannu PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20140925000300 |
| Entity Name | Daiya Healthcare PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992 |
| Entity Name | Impact Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114428612 PECOS PAC ID: 6204199086 Enrollment ID: O20231222003031 |
| Mailing Address | Practice Location Address |
|---|---|
| Danish Mirza, DO 2805 Ne 129th St, Vancouver, WA 98686-3324 Ph: (971) 910-3090 | Danish Mirza, DO 2805 Ne 129th St, Vancouver, WA 98686-3324 Ph: (971) 910-3090 |
Kanuboddu Nagarjuna Reddy, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave Ste 220, Vancouver, WA 98664 Phone: 360-882-2778 |
Phillip M Cullison Bonner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 |
Marissa Krienke, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave Ste And240, Vancouver, WA 98664 Phone: 360-882-2778 |
Morgan Bigelow, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2525 Ne 139th St Ste 140, Vancouver, WA 98686 Phone: 360-822-2778 |
Dr. Samuel Everett George, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 19005 Se 34th St Bldg 3, Vancouver, WA 98683 Phone: 360-726-6720 Fax: 360-726-6729 |
Quynh T Tran, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 503-374-1864 Fax: 360-487-4709 |
Dr. Fuhua Holly Guo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Ofc, Vancouver, WA 98661 Phone: 360-759-1901 Fax: 360-759-1685 |