Brenda F Kodama, MD | |
1703 S Meridian, Ste 101, Puyallup, WA 98371-7590 | |
(253) 848-3000 | |
(253) 840-6514 |
Full Name | Brenda F Kodama |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 1703 S Meridian, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770591679 | NPI | - | NPPES |
8147688 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD00030793 (Washington) | Primary |
Entity Name | Cascade Eye & Skin Centers Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033204938 PECOS PAC ID: 4486541554 Enrollment ID: O20040310000465 |
Mailing Address | Practice Location Address |
---|---|
Brenda F Kodama, MD 1703 S Meridian, Ste 101, Puyallup, WA 98371-7590 Ph: (253) 848-3000 | Brenda F Kodama, MD 1703 S Meridian, Ste 101, Puyallup, WA 98371-7590 Ph: (253) 848-3000 |
Barbara J Fox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian, Suite 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 | |
June Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 Meridian St S Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 | |
Aaron Kimball Rasmussen, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2622 S Meridian, Puyallup, WA 98373 Phone: 253-841-8453 Fax: 253-840-5519 | |
Susan L. Sullivan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-446-3903 Fax: 253-840-6514 | |
Dr. Dan Algot Wiklund, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 929 E Main Ave, Suite 210, Puyallup, WA 98372 Phone: 253-848-9563 Fax: 253-840-5519 | |
Dr. Jeffrey Stephen Newman, M.D., PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 929 E Main Ave, Suite 210, Puyallup, WA 98372 Phone: 253-841-2453 Fax: 253-840-5519 | |
Dr. Thomas Lam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 |