Charles R Souliere Jr, MD | |
700 Lilly Rd Ne, Olympia, WA 98506-5115 | |
(360) 923-7000 | |
(360) 923-7089 |
Full Name | Charles R Souliere Jr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 44 Years |
Location | 700 Lilly Rd Ne, Olympia, 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 |
---|---|---|---|
1245288927 | NPI | - | NPPES |
0223169 | Other | WA | STATE L&I |
1099951 | Medicaid | WA | |
208378 | Other | WA | STATE L&I |
P00313076 | Other | WA | MEDICARE RAILROAD |
8941430 | Other | WA | STATE CRIME VICTIMS |
0208377 | Other | WA | STATE L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD00029182 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
Entity Name | Franciscan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
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 |
---|---|
Charles R Souliere Jr, MD 1708 Yakima Ave, Suite 112, Tacoma, WA 98405-5307 Ph: (253) 627-6731 | Charles R Souliere Jr, MD 700 Lilly Rd Ne, Olympia, WA 98506-5115 Ph: (360) 923-7000 |
Alan Lee Cowan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502 Phone: 360-704-4745 Fax: 360-704-4746 | |
Dr. Robert S. Marlan, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 111 Market St Ne, Suite 355, Olympia, WA 98501 Phone: 360-357-8700 | |
Dr. Matthew Enkyum Jung, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 128 Lilly Rd Ne Ste 202, Olympia, WA 98506 Phone: 360-357-6314 | |
Dr. Nathan Benjamin Sautter, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 128 Lilly Rd Ne Ste 202, Olympia, WA 98506 Phone: 360-357-6314 Fax: 360-705-3745 | |
Dr. Sung-won Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 128 Lilly Rd Ne, 202, Olympia, WA 98506 Phone: 360-357-6314 | |
James S. Hannum, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 |