| Henry O Otero, MD | |
|
1100 9th Ave, Seattle, WA 98101-2756 | |
| (206) 223-6600 | |
| Not Available |
| Full Name | Henry O Otero |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 1100 9th Ave, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063425890 | NPI | - | NPPES |
| 8211997 | Medicaid | WA | |
| US1017896 | Other | WA | AETNA/USHC SPECIALIST |
| 5531OT | Other | WA | BLUE SHIELD |
| 0039582 | Other | WA | LABOR & INDUSTRY |
| MD4490W | Other | WA | ALASKA MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | MD00031791 (Washington) | Primary |
| Entity Name | Virginia Mason Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry O Otero, MD 1100 Olive Way Msc M4-pa, Seattle, WA 98101-1873 Ph: () - | Henry O Otero, MD 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-6600 |
Sandhya Ramanathan Panch, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000 | |
Stephen A Lopez, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 925 Seneca St, Seattle, WA 98101 Phone: 206-341-0860 | |
Dr. Susan Hunt, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: Uwmc Department Of Medicine, Box 356429, Seattle, WA 98195 Phone: 206-221-7993 Fax: 206-221-8732 | |
Timothy William Menza, MD, PHD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Dr. Vinay Gupta, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6980 Fax: 206-223-6982 | |
Dr. Maria Ann Corcorran, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1550 N 115th St, Seattle, WA 98133 Phone: 206-520-5000 | |
Vyshak Alva Venur, M.D Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5700 |