| Sundance L Rogers, MD | |
|
1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 | |
| (206) 842-5632 | |
| (206) 842-5992 |
| Full Name | Sundance L Rogers |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 1344 Wintergreen Ln Ne, Bainbridge Island, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972696912 | NPI | - | NPPES |
| 6701RO | Other | WA | BLUE SHIELD # |
| 8192486 | Medicaid | WA | |
| US0900037 | Other | WA | AETNA PCP PIN |
| 0039581 | Other | WA | LABOR AND INDUSTRIES # |
| US0819159 | Other | WA | AETNA SPECIALIST PIN |
| 110217394 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00033047 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Franciscan Health At Home | University place, WA | Home health agency |
| Kindred At Home | Bremerton, WA | Home health agency |
| Virginia Mason Medical Center | Seattle, WA | Hospital |
| Harrison Medical Center | Bremerton, WA | Hospital |
| Jefferson Healthcare | Port townsend, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Outpatient Services Inc | 4082868815 | 606 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Virginia Mason Medical Center | 9830002617 | 839 |
| 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 |
|---|---|
| Sundance L Rogers, MD 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 Ph: (206) 842-5632 | Sundance L Rogers, MD 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 Ph: (206) 842-5632 |
Farshid Firoozbakht, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 945 Hildebrand Ln Ne, Ste 100, Bainbridge Island, WA 98110 Phone: 206-991-2121 Fax: 206-991-2151 | |
William Boyan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7068 Wing Point Rd Ne, Bainbridge Island, WA 98110 Phone: 206-335-0934 | |
Dr. Wayne Russell Godfrey, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4927 Ne Tolo Rd, Bainbridge Island, WA 98110 Phone: 650-521-2770 | |
Dr. Donald Edward Stevens, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 945 Hildebrand Ln Ne, Suite 100, Bainbridge Island, WA 98110 Phone: 206-991-2121 Fax: 206-991-2151 | |
Bruce E Gottlieb, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 Phone: 206-842-5632 | |
Mr. Hai Tran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1344 Wintergreen Ln Ne Unit 200, Bainbridge Island, WA 98110 Phone: 206-855-7600 Fax: 206-855-7697 | |
Dr. Jennifer Ann Newman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8804 Madison Ave Ne, Suite 200, Bainbridge Island, WA 98110 Phone: 206-855-7600 Fax: 206-855-7698 |