| Petar Jamborcic, MD | |
|
510 W 1st Ave, Toppenish, WA 98948-1564 | |
| (509) 865-5600 | |
| Not Available |
| Full Name | Petar Jamborcic |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 510 W 1st Ave, Toppenish, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114990538 | NPI | - | NPPES |
| 100503746 | Medicaid | NV | |
| 2050301 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11074 (Nevada) | Secondary |
| 207R00000X | Internal Medicine | MD60593879 (Washington) | Primary |
| Entity Name | Yakima Valley Memorial Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Petar Jamborcic, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Petar Jamborcic, MD 510 W 1st Ave, Toppenish, WA 98948-1564 Ph: (509) 865-5600 |
Dr. Aaron Daniel Anderson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 | |
Vlastimil Calayan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 | |
Prem Raj Sagar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 | |
Mark Farley, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 | |
Dr. Kathleen Kingsford Davis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 518 W 1st Ave, Toppenish, WA 98948 Phone: 509-469-1784 | |
Vesna Jamborcic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 |