| Dr Theodore P Skaarup, MD | |
|
1804 W 51st Ave, Kennewick, WA 99337-4626 | |
| (509) 619-0562 | |
| Not Available |
| Full Name | Dr Theodore P Skaarup |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 1804 W 51st Ave, Kennewick, 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 |
|---|---|---|---|
| 1275538134 | NPI | - | NPPES |
| 139398 | Medicaid | OR | |
| 8240079 | Medicaid | WA | |
| 050066021 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD00037267 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Service- Washington | 0840279758 | 164 |
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 91 |
| Entity Name | Columbia Anesthesia Group P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861448235 PECOS PAC ID: 8426954322 Enrollment ID: O20031211000035 |
| Entity Name | Providence Health & Service- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
| Entity Name | Capital Medical Center Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore P Skaarup, MD Po Box 1663, Walla Walla, WA 99362-0031 Ph: (509) 619-0562 | Dr Theodore P Skaarup, MD 1804 W 51st Ave, Kennewick, WA 99337-4626 Ph: (509) 619-0562 |
Nicholas Andrew Juan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7401 W Hood Pl Ste 200, Kennewick, WA 99336 Phone: 509-591-0070 | |
April Rallo Davis, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 S Auburn St, Kennewick, WA 99336 Phone: 509-586-6111 | |
Dr. Gary L Reiber, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1804 W 51st Ave, Kennewick, WA 99337 Phone: 509-619-0562 | |
Dr. Wade R Otte, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Mark W. Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1804 W 51st Ave, Kennewick, WA 99337 Phone: 509-619-0562 | |
Dr. Timothy C Gleeson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1804 W 51st Ave, Kennewick, WA 99337 Phone: 509-619-0562 |