Rolando I Celis Valdiviezo, MD - Medicare Vascular Surgery in Everett, WA

Rolando I Celis Valdiviezo, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Everett, Washington. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Providence Health And Services- Washington and his current practice location is 1330 Rockefeller Ave Ste 520, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 297-5200.

Rolando I Celis Valdiviezo is licensed to practice in Washington (license number MD60254843) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497975361.

Contact Information

Rolando I Celis Valdiviezo, MD
1330 Rockefeller Ave Ste 520,
Everett, WA 98201
(425) 297-5200
Not Available



Physician's Profile

Full NameRolando I Celis Valdiviezo
GenderMale
SpecialityVascular Surgery
Experience22 Years
Location1330 Rockefeller Ave Ste 520, Everett, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rolando I Celis Valdiviezo graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1497975361
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294985529
  • Enrollment ID: I20160930001973

Medical Identifiers

Medical identifiers for Rolando I Celis Valdiviezo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497975361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD60254843 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Regional Medical Center EverettEverett, WAHospital
Skagit Valley HospitalMount vernon, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services- Washington8325100480420

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rolando I Celis Valdiviezo allows following entities to bill medicare on his behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789

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Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rolando I Celis Valdiviezo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rolando I Celis Valdiviezo, MD
Po Box 3360,
Portland, OR 97208-3360

Ph: () -
Rolando I Celis Valdiviezo, MD
1330 Rockefeller Ave Ste 520,
Everett, WA 98201

Ph: (425) 297-5200

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Surgery Doctors in Everett, WA

John L Goodman, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1330 Rockefeller Ave Ste 120, Everett, WA 98201
Phone: 425-339-5422    
Elizabeth Neuger, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Rockefeller Ave, Everett, WA 98201
Phone: 425-339-5442    
Dr. Perry A Soriano, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Rockefeller Ave, Everett, WA 98201
Phone: 425-339-5442    Fax: 425-339-1363
David F Pratt, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4005 Colby Ave, Everett, WA 98201
Phone: 425-258-3446    Fax: 425-252-7321
Katherine Ione Moreno, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3216 Norton Ave, Ste 202, Everett, WA 98201
Phone: 425-297-5330    
Dr. Kenny P Koo, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1330 Rockefeller Ave, #120, Everett, WA 98201
Phone: 425-339-5442    
James K Brevig, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201
Phone: 425-261-4950    Fax: 425-261-4951

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