| Dr Benigno Waldo A Dagan, MD | |
|
1420 Main St, Sumner, WA 98390 | |
| (253) 987-5156 | |
| (253) 987-5462 |
| Full Name | Dr Benigno Waldo A Dagan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 1420 Main St, Sumner, 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 |
|---|---|---|---|
| 1235182122 | NPI | - | NPPES |
| 5496722 | Other | WA | AETNA PROVIDER NUMBER |
| 0185591 | Other | WA | L & I PROVIDER NUMBER |
| 2004507 | Medicaid | WA | |
| 98390A015 | Other | WA | TRICARE PROVIDER NUMBER |
| 9869DA | Other | WA | REGENCE RIDER NUMBER |
| 911203494BP | Other | WA | KPS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00036169 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Tacoma, WA | Home health agency |
| Assured Home Health | Seattle, WA | Home health agency |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benigno Waldo A Dagan, MD 1420 Main St, Sumner, WA 98390 Ph: (253) 987-5156 | Dr Benigno Waldo A Dagan, MD 1420 Main St, Sumner, WA 98390 Ph: (253) 987-5156 |
Robert W. Corliss, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5814 Graham Ave, Suite 100, Sumner, WA 98390 Phone: 253-863-4474 Fax: 253-863-4062 |