| Dr Callie Anne Byrd, MD | |
|
27500 168th Pl Se, Covington, WA 98042-5563 | |
| (425) 690-3430 | |
| (425) 690-9430 |
| Full Name | Dr Callie Anne Byrd |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 27500 168th Pl Se, Covington, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376787481 | NPI | - | NPPES |
| 2022285 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD60278120 (Washington) | Primary |
| Entity Name | Valley Medical Group-renton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Callie Anne Byrd, MD 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Dr Callie Anne Byrd, MD 27500 168th Pl Se, Covington, WA 98042-5563 Ph: (425) 690-3430 |
Mai Nitta, Pediatrics Medicare: Medicare Enrolled Practice Location: 17700 Se 272nd St # 440, Covington, WA 98042 Phone: 253-372-7155 | |
Cheryl L Tan-jacobson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17700 Se 272nd St, Covington, WA 98042 Phone: 253-372-7156 | |
Dr. Danilo Vitente Tadeo, M.D., MLS(ASCP)CM Pediatrics Medicare: Medicare Enrolled Practice Location: 17700 Se 272nd St # 440, Covington, WA 98042 Phone: 253-372-7155 Fax: 253-372-7071 | |
Dr. Sean Michael Verlander, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27500 168th Pl Se, Covington, WA 98042 Phone: 253-395-2006 Fax: 253-395-1977 |