| Dr Paolo Antonio De Belen De Vera, MD | |
| 7425 Wrigley Dr Ste 101, Pasco, WA 99301-5292 | |
| (509) 546-8399 | |
| Not Available | 
| Full Name | Dr Paolo Antonio De Belen De Vera | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 7425 Wrigley Dr Ste 101, Pasco, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528383155 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD60136192 (Washington) | Primary | 
| Entity Name | Lourdes Hospital Llc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1831284280 PECOS PAC ID: 1850642562 Enrollment ID: O20180919002474 | 
| Entity Name | Lourdes Hospital Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Paolo Antonio De Belen De Vera, MD 520 N 4th Ave, Pasco, WA 99301-5257 Ph: (509) 547-7704 | Dr Paolo Antonio De Belen De Vera, MD 7425 Wrigley Dr Ste 101, Pasco, WA 99301-5292 Ph: (509) 546-8399 | 
| Dr. Rolando Llanes Cayetano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 531 W Park St, Suite #3, Pasco, WA 99301 Phone: 509-545-9012 Fax: 509-545-9373 | |
| Tamara M Cooks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
| Dr. Ziba Ghanbari Iraee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-942-3203 | |
| Dr. Aaron Scott Richardson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301 Phone: 509-942-3627 Fax: 509-942-3203 | |
| Maria N Guevara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-545-3960 | |
| Sean Patrick Brady, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Parkway, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-543-9795 |