Dmitry P Feldman, DO | |
1415 E. Kincaid Street, Mount Vernon, WA 98274 | |
(360) 416-5750 | |
(360) 416-5758 |
Full Name | Dmitry P Feldman |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 1415 E. Kincaid Street, Mount Vernon, 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 |
---|---|---|---|
1629247689 | NPI | - | NPPES |
263621 | Other | WA | LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | SL0454 (Nevada) | Secondary |
207R00000X | Internal Medicine | OP60097298 (Washington) | Primary |
208M00000X | Hospitalist | OP60097298 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Dmitry P Feldman, DO 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 Ph: (360) 428-2500 | Dmitry P Feldman, DO 1415 E. Kincaid Street, Mount Vernon, WA 98274 Ph: (360) 416-5750 |
Connie L. Davis, Internal Medicine Medicare: Medicare Enrolled Practice Location: 208 Hospital Parkway, Mount Vernon, WA 98274 Phone: 360-428-8260 Fax: 360-428-8576 | |
Ramy Lewez Hanna, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237 | |
Dr. Samuel M. Donohoe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 | |
Joshua David Larson, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2115 | |
Sankar S Alagugurusamy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-6113 Fax: 360-814-6110 | |
Dr. Junfeng Wang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S 13th St Ste 100, Mount Vernon, WA 98274 Phone: 360-814-2146 Fax: 360-814-2445 | |
David F. Hoeft, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 |