| Seleverstov Medical, P.c. | |
|
56 N College Ave Unit 2a College Place WA 99324-1048 | |
| (097) 300-7285 | |
| (866) 531-7606 |
| Full Name | Seleverstov Medical, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 56 N College Ave Unit 2a, College Place, Washington |
| Authorized Official Name and Position | Oleksandr Seleverstov (OWNER) |
| Authorized Official Contact | 5188016446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seleverstov Medical, P.c. 146 Thunder Ridge Dr Walla Walla WA 99362-7762 Ph: (518) 801-6446 | Seleverstov Medical, P.c. 56 N College Ave Unit 2a College Place WA 99324-1048 Ph: (097) 300-7285 |
| NPI Number | 1275215972 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 01/29/2025 |
| Medicare PECOS PAC ID | 5395191076 |
|---|---|
| Medicare Enrollment ID | O20231101001655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275215972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Oleksandr Seleverstov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770841421 PECOS PAC ID: 6608162193 Enrollment ID: I20200306002541 |
Providence Health & Services Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324 Phone: 509-987-2450 | |
Wwu Campus Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 S College Ave, Suite 101, College Place, WA 99324 Phone: 509-527-2425 Fax: 509-527-2426 | |
Yvonne E. Stratton Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Se Highland Park Dr, College Place, WA 99324 Phone: 509-529-0376 | |
Columbia County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 S College Ave Ste 1, College Place, WA 99324 Phone: 509-382-2531 |