Andrea S Drenguis, DO | |
34515 9th Ave S, Federal Way, WA 98003-6761 | |
(253) 838-9700 | |
Not Available |
Full Name | Andrea S Drenguis |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 34515 9th Ave S, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205128121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OT014051 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | OP60527742 (Washington) | Primary |
Entity Name | Northwest Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Entity Name | Northwest Observation Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023539376 PECOS PAC ID: 9032480942 Enrollment ID: O20170810000470 |
Mailing Address | Practice Location Address |
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Andrea S Drenguis, DO 2314 Sassafras St, Suite 300, Erie, PA 16502-2722 Ph: (814) 452-5105 | Andrea S Drenguis, DO 34515 9th Ave S, Federal Way, WA 98003-6761 Ph: (253) 838-9700 |
Fredric T Lo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 34515 9th Avenue South, Federal Way, WA 98003 Phone: 253-952-7971 Fax: 253-944-7922 | |
John Andrew Campbell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 34515 9th Ave S, Federal Way, WA 98003 Phone: 253-838-9700 Fax: 253-838-6418 | |
Lysa Susanne Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 34515 9th Ave S, Federal Way, WA 98003 Phone: 253-838-9700 Fax: 253-838-6418 | |
Richard Alan Bethke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 S 336th St, Suite 600, Federal Way, WA 98003 Phone: 360-299-1300 Fax: 360-299-1312 | |
Michelle Joy Holm, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 34515 9th Ave S, Emergency Medicine Department, Federal Way, WA 98003 Phone: 253-944-7971 | |
Rafael A Gonzalez-vizoso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3455 S 344th Way, Suite 210, Federal Way, WA 98001 Phone: 180-033-6861 Fax: 253-838-6418 |