| Nicholas Andrew Juan, MD | |
|
7401 W Hood Pl Ste 200, Kennewick, WA 99336-3400 | |
| (509) 591-0070 | |
| Not Available |
| Full Name | Nicholas Andrew Juan |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 13 Years |
| Location | 7401 W Hood Pl Ste 200, 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 |
|---|---|---|---|
| 1013270875 | NPI | - | NPPES |
| 2079915 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | Q8523 (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | MD60751696 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison Medical Center | Bremerton, WA | Hospital |
| Olympic Medical Center | Port angeles, WA | Hospital |
| St Anthony Hospital | Gig harbor, WA | Hospital |
| Jefferson Healthcare | Port townsend, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Pain Alliance | 0941565162 | 38 |
| Entity Name | Sound Pain Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649776394 PECOS PAC ID: 0941565162 Enrollment ID: O20180517001248 |
| Entity Name | Rcch Trios Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831682806 PECOS PAC ID: 5799035416 Enrollment ID: O20180830000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Andrew Juan, MD 7401 W Hood Pl Ste 200, Kennewick, WA 99336-3400 Ph: (509) 591-0070 | Nicholas Andrew Juan, MD 7401 W Hood Pl Ste 200, Kennewick, WA 99336-3400 Ph: (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 | |
Dr. Theodore P Skaarup, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1804 W 51st Ave, Kennewick, WA 99337 Phone: 509-619-0562 | |
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 |