Bradley K Fankhauser, MD | |
4410 106th St Sw, Mukilteo, WA 98275-4700 | |
(425) 493-6001 | |
(425) 493-6030 |
Full Name | Bradley K Fankhauser |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 4410 106th St Sw, Mukilteo, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922269489 | NPI | - | NPPES |
MD60221736 | Other | WA | LICENSE |
2014376 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60221736 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optum Care Washington Pllc | 6406752153 | 559 |
Entity Name | Optum Care Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Bradley K Fankhauser, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Bradley K Fankhauser, MD 4410 106th St Sw, Mukilteo, WA 98275-4700 Ph: (425) 493-6001 |
Christoper J Bibby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6015 | |
Marcia H Saul, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-339-6000 | |
Dr. Ramin Baimaninejad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4112 Harbour Pointe Blvd Sw Ste 100, Mukilteo, WA 98275 Phone: 425-347-6330 | |
John Mark Beard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 | |
Stephen S Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6025 | |
Amanda Price Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6004 | |
Stephen Dahlberg, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6004 |