| Mr Ross Connor Candelore, DO | |
|
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | |
| (253) 968-2997 | |
| Not Available |
| Full Name | Mr Ross Connor Candelore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, 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 |
|---|---|---|---|
| 1104327527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 23517 (California) | Secondary |
| 208D00000X | General Practice | 2090 (Nebraska) | Secondary |
| 207P00000X | Emergency Medicine | T1029 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peninsula Medical Center | Burlingame, CA | Hospital |
| Seton Medical Center | Daly city, CA | Hospital |
| The Hospitals Of Providence - Memorial Campus | El paso, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluff Creek Emergency Medicine Associates, Pa | 1355605924 | 68 |
| Mills-peninsula Emergency Medical Associates, Inc | 4183668908 | 26 |
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Emergency Services Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174932131 PECOS PAC ID: 7517289291 Enrollment ID: O20141208002099 |
| Entity Name | Pearsall Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104326263 PECOS PAC ID: 1557623147 Enrollment ID: O20180319002335 |
| Entity Name | Bluff Creek Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679071690 PECOS PAC ID: 1355605924 Enrollment ID: O20180507001763 |
| Entity Name | Hospitalist Medicine Physicians Of Texas - Houston, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760028740 PECOS PAC ID: 2860881125 Enrollment ID: O20211109000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ross Connor Candelore, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-2997 | Mr Ross Connor Candelore, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-2997 |
Dr. Matthew Christopher Miller, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Dr. Andrew Brigg, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-363-2300 | |
Nicholas Derfler, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Dr. Jonathan Stuart, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1110 | |
Paul Freeman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Brandon Lee, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1511 |