MEDICARE: ANTHONY MICHAEL SESTERO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	MD00043159	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00141241	OTHER	WA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010147666	OTHER	ID	REGENCE BLUE SHIELD OF ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	379109600	OTHER	WA	OWCP
5	8860SE	OTHER	WA	ASURIS NW HEALTH
6	KX474	OTHER	ID	BLUE CROSS OF IDAHO
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0181415	OTHER	WA	DEPT OF LABOR & INDUSTRIE
9	8930280	OTHER	WA	CRIME VICTIMS
10	28274	OTHER	WA	GROUP HEALTH NW

General Provider Information

NPI Number	:	1558330597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY MICHAEL SESTERO M.D.

Provider Business Mailing Address
First Line	:	601 W 5TH AVE
Second Line	:	SUITE 400
City	:	SPOKANE
State	:	WA
Zip	:	99204-2715
Country	:	US
Telephone Number	:	509-344-2663
Fax Number	:	509-624-9179

Provider Business Practice Location Address
First Line	:	12410 E SINTO AVE STE 201
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-2280
Country	:	US
Telephone Number	:	509-928-4334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	10/22/2024

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