Catherine Anne Delsecco, PA-C
Individual provider Active NPI Medical Physician Assistant · Mercer Island, WA
NPI 1720150105 · NPPES record last updated Feb 10, 2009
Key facts
- NPI
- 1720150105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA-10004561 (WA)
- Practice address
- 8435 SE 68TH St
Suite 118
Mercer Island, WA 98040-5249 - Phone
- (206) 232-7546
- Fax
- (206) 275-0805
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sound Dermatology and Skin Surgery PLLC
Practice addresses (Care Compare)
8301 161St Ave NE
Suite 108
Redmond, WA 98052-3858
Phone (425) 485-7985
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040304000587 | WA | Practitioner - Physician Assistant | 6204723075 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-10004561 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen William Doggett, M.D. PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | PA10004561 | WA | |
| Medical Physician Assistant | 363AM0700X | PA-10004561 | WA | Yes |
Addresses
Primary practice location
8435 SE 68TH St
Suite 118
Mercer Island, WA 98040-5249
Mailing address
8435 SE 68TH St
Suite 118
Mercer Island, WA 98040-5249
Phone (206) 232-7546
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00274267 | Other | WA | RAILROAD MEDICARE # |
| US7872525 | Other | WA | AETNA SPECIALIST PIN |
| 8371676 | Medicaid | WA | |
| 0039578 | Other | WA | LABOR AND INDUSTRIES # |
| 3743DE | Other | WA | BLUE SHIELD # |
Other providers in Mercer Island, WA
- Karen Danklefsen
- Rebecca A Dao
- Elizabeth Helen Daugherty
- Darrel Bevlin Davis
- Catherine Deleon
- Christina Maria Demopulos
- Gregory A Demopulos
- Dental Med Alliance
- Parisa Derakshani
- Dermatology Clinic PLLC
All providers in Mercer Island, WA · Medical Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.