Dr Casey Ray Medina, MD | |
125 N 18th St Ste C, Mount Vernon, WA 98273-3902 | |
(360) 424-6161 | |
Not Available |
Full Name | Dr Casey Ray Medina |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 125 N 18th St Ste C, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609304070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD61282818 (Washington) | Primary |
207R00000X | Internal Medicine | BP10060352 (Texas) | Secondary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
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Dr Casey Ray Medina, MD 8100 Cambridge St Apt 131, Houston, TX 77054-3164 Ph: (253) 230-2066 | Dr Casey Ray Medina, MD 125 N 18th St Ste C, Mount Vernon, WA 98273-3902 Ph: (360) 424-6161 |
Dr. Mark A Studley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1320 E Division, Mount Vernon, WA 98274 Phone: 360-424-6161 Fax: 360-848-1167 | |
Karen S Dec, MD Radiology Medicare: Medicare Enrolled Practice Location: 1320 E Division, Mount Vernon, WA 98274 Phone: 360-424-6161 Fax: 360-848-1167 | |
Dr. Lori A Ahrens, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1320 E Division, Mount Vernon, WA 98274 Phone: 360-424-6161 Fax: 360-848-1167 | |
Dr. Muneer Janak Desai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1320 E Division, Mount Vernon, WA 98274 Phone: 360-424-6161 Fax: 360-848-1167 | |
Dr. Michal Anne Whiton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 307 S 13th St Ste 100, Mount Vernon, WA 98274 Phone: 360-814-2630 | |
Laurence D Cambron, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1320 E Division, Mount Vernon, WA 98274 Phone: 360-424-6161 Fax: 360-848-1167 | |
Andrew Philip Robbins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1320 E Division St, Mount Vernon, WA 98274 Phone: 360-424-6161 |