| Samuel Roth Skovgaard, MD | |
|
519 S Peabody St, Port Angeles, WA 98362-6229 | |
| (360) 417-7000 | |
| (360) 565-9241 |
| Full Name | Samuel Roth Skovgaard |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 9 Years |
| Location | 519 S Peabody St, Port Angeles, 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 |
|---|---|---|---|
| 1184088155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD61321058 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olympic Medical Center | Port angeles, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olympic Medical Physicians | 9537172358 | 107 |
| Entity Name | Olympic Medical Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Roth Skovgaard, MD 519 S Peabody St, Port Angeles, WA 98362-6229 Ph: (360) 565-9237 | Samuel Roth Skovgaard, MD 519 S Peabody St, Port Angeles, WA 98362-6229 Ph: (360) 417-7000 |
Dr. Jimmy Y. Chung, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 | |
Michael Edward Reopelle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. Sandra J Tatro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-417-0127 | |
Dr. Matthew Trieff Levy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-417-0127 | |
Georgia E. Heisterkamp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-417-0127 | |
Charles A Bundy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-417-0127 |