| Victoria Malloch Desalvo, ARNP | |
|
520 W Indian Ave, Brewster, WA 98812 | |
| (509) 689-2525 | |
| (509) 689-3247 |
| Full Name | Victoria Malloch Desalvo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 520 W Indian Ave, Brewster, 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 |
|---|---|---|---|
| 1174043384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP60758226 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid Valley Hospital | Omak, WA | Hospital |
| Three Rivers Hospital | Brewster, WA | Hospital |
| Lake Chelan Community Hospital | Chelan, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Centers | 9739076217 | 28 |
| Entity Name | Family Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609804392 PECOS PAC ID: 9739076217 Enrollment ID: O20040301000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Malloch Desalvo, ARNP Po Box 1340, Okanogan, WA 98840-1340 Ph: (509) 422-5700 | Victoria Malloch Desalvo, ARNP 520 W Indian Ave, Brewster, WA 98812 Ph: (509) 689-2525 |
Bradley Christopher Hagen, ARNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 418 W. Main Avenue, Brewster, WA 98812 Phone: 509-689-8900 Fax: 509-689-9031 | |
Grace Rebecca Larsen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 418 Main St., Brewster, WA 98812 Phone: 509-689-8900 |