Brian M Ito, MD | |
11511 Ne 10th St, Bellevue, WA 98004-8578 | |
(425) 502-3000 | |
Not Available |
Full Name | Brian M Ito |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 11511 Ne 10th St, Bellevue, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932253697 | NPI | - | NPPES |
8107179 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD00020167 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Brian M Ito, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000 | Brian M Ito, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000 |
David G Gorman, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1135 116th Ave Ne, Suite 200, Bellevue, WA 98004 Phone: 425-709-7055 Fax: 428-709-7066 | |
Daniel Perry Fosmire, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite 200, Bellevue, WA 98004 Phone: 425-709-7055 Fax: 425-709-7066 | |
Dr. Thomas J Bullock, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne Ste 500, Bellevue, WA 98004 Phone: 801-699-8936 | |
Varun Laohaprasit, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 116th Ave Ne, Suite 302, Bellevue, WA 98004 Phone: 425-455-5440 Fax: 455-455-1431 | |
Dr. David Elbert Grayson, M.D Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 17625 Se 45th Pl, Bellevue, WA 98006 Phone: 206-954-4444 | |
Dr. Jonathan Dale Choi, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne Ste 500, Bellevue, WA 98004 Phone: 425-635-6560 |