Brandt Charles Mohr, MD | |
19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | |
(425) 563-1500 | |
(425) 563-1501 |
Full Name | Brandt Charles Mohr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 19020 33rd Ave W Ste 210, Lynnwood, 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 |
---|---|---|---|
1134239965 | NPI | - | NPPES |
2000543 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ML20007481 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD00048126 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Olympic Medical Center | Port angeles, WA | Hospital |
Swedish Medical Center | Seattle, WA | Hospital |
Swedish Edmonds Hospital | Edmonds, WA | Hospital |
Deaconess Medical Center | Spokane, WA | Hospital |
Swedish Issaquah | Issaquah, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Sound Radiologists Inc P S | 1254229305 | 52 |
Medford Radiological Group Pc | 2062303324 | 79 |
Swedish Health Services | 3173433067 | 115 |
Evergreen Radia Llc | 4587568076 | 90 |
Central Washington Health Services Association | 4880504596 | 644 |
Public Hospital District No 4 King County Washington | 6002700861 | 61 |
Okanogan County Public Hospital District No. 3 | 6800707951 | 66 |
Radiology Associates Pa | 7517953912 | 87 |
Radia California Radiology Medical Group Inc | 8921465998 | 87 |
Okanogan County Public Hospital Dist No 4 | 9335051150 | 27 |
Radia Inc P S | 9931012812 | 256 |
Entity Name | Central Washington Health Services Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
Entity Name | Radia Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
Entity Name | Swedish Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189 |
Entity Name | Evergreen Radia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20031125000896 |
Entity Name | Swedish Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
Entity Name | Okanogan County Public Hospital District No. 3 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387403 PECOS PAC ID: 6800707951 Enrollment ID: O20040128000027 |
Entity Name | Public Hospital District No 4 King County Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
Entity Name | South Sound Radiologists Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20040309001119 |
Entity Name | Okanogan County Public Hospital Dist No 4 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750443834 PECOS PAC ID: 9335051150 Enrollment ID: O20040323000641 |
Entity Name | Swedish Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114356904 PECOS PAC ID: 3173433067 Enrollment ID: O20040414000671 |
Entity Name | Pet-ct Imaging At Swedish Cancer Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013920644 PECOS PAC ID: 5092736884 Enrollment ID: O20051208000098 |
Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20060106000841 |
Entity Name | Kennewick Radiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679783534 PECOS PAC ID: 9335230549 Enrollment ID: O20070802000143 |
Entity Name | Wenatchee Valley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20130716000034 |
Entity Name | Radia Imaging Center Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20190118000572 |
Entity Name | Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366438186 PECOS PAC ID: 7517953912 Enrollment ID: O20200713001634 |
Entity Name | Direct Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689283285 PECOS PAC ID: 6103244934 Enrollment ID: O20200910002932 |
Entity Name | Medford Radiological Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20211201002559 |
Entity Name | Radia California Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20231108002477 |
Entity Name | Radia Oregon Radiology Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073385423 PECOS PAC ID: 2961852637 Enrollment ID: O20240416001942 |
Mailing Address | Practice Location Address |
---|---|
Brandt Charles Mohr, MD 1351 Kensington Way, Richland, WA 99352-7871 Ph: (903) 884-6647 | Brandt Charles Mohr, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 |
Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Frederick F Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Judson E Threlkeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Andrew James Harrison, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 |