Brian Chi-ming Fong, MD | |
4310 Colby Ave, Suite 203, Everett, WA 98203-2338 | |
(425) 252-8102 | |
(425) 339-0835 |
Full Name | Brian Chi-ming Fong |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 25 Years |
Location | 4310 Colby Ave, Everett, 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 |
---|---|---|---|
1407888910 | NPI | - | NPPES |
8406977 | Medicaid | WA | |
I13494G | Other | WA | MEDICARE ID-PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 44010 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Swedish Edmonds Hospital | Edmonds, WA | Hospital |
Skagit Valley Hospital | Mount vernon, WA | Hospital |
Swedish Medical Center | Seattle, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services- Washington | 8325100480 | 424 |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Brian Chi-ming Fong, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 747-2455 | Brian Chi-ming Fong, MD 4310 Colby Ave, Suite 203, Everett, WA 98203-2338 Ph: (425) 252-8102 |
Gary Stack, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4310 Colby Ave, Suite 203, Everett, WA 98203 Phone: 425-252-8102 | |
Dr. Christopher Robert Hempel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Dr. Yen-huang Chen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Dr. Jeong Hoon Yoon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Raymond K Whalen, MD Urology Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-258-3903 | |
Earl Dan Bardin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4225 Hoyt, Ste C, Everett, WA 98203 Phone: 425-252-2313 Fax: 425-258-1182 |