| Dr Ajainder Shergill, DO, MBA | |
|
2603 Bridgeport Way W Ste F, University Place, WA 98466-4724 | |
| (253) 666-6780 | |
| (253) 666-6793 |
| Full Name | Dr Ajainder Shergill |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 2603 Bridgeport Way W Ste F, University Place, Washington |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366648222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OP60097497 (Washington) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | OP60097497 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medtriq Llc | 9133348766 | 7 |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Medtriq Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841605524 PECOS PAC ID: 9133348766 Enrollment ID: O20140915000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ajainder Shergill, DO, MBA 9000 Crow Canyon Rd Ste S360, Danville, CA 94506-1189 Ph: (360) 334-1882 | Dr Ajainder Shergill, DO, MBA 2603 Bridgeport Way W Ste F, University Place, WA 98466-4724 Ph: (253) 666-6780 |
Christine Cofer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-534-7099 | |
Bruce D Brazina, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-534-7099 | |
Dr. Bethany Christine Fowler, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-874-6089 | |
Donna Aliga Apolinario, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-534-7099 | |
Harry Burton Knaster, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 | |
Marilyn E Pattison, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-671-7099 |