Dr Diana E Velikova, MD | |
2555 Marvin Rd Ne, Lacey, WA 98516-3138 | |
(360) 923-4600 | |
(360) 412-2256 |
Full Name | Dr Diana E Velikova |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 2555 Marvin Rd Ne, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841295615 | NPI | - | NPPES |
8381659 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00042875 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Capital Medical Center Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629214283 PECOS PAC ID: 3678639879 Enrollment ID: O20090312000311 |
Mailing Address | Practice Location Address |
---|---|
Dr Diana E Velikova, MD Po Box 3360, Portland, OR 97208-3360 Ph: (877) 747-2455 | Dr Diana E Velikova, MD 2555 Marvin Rd Ne, Lacey, WA 98516-3138 Ph: (360) 923-4600 |
Ana Maria Mihalcea, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Northwest Ln Se, Suite A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Ioan Vlad Nicolescu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-493-7800 | |
Mijung Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se Ste 200, Lacey, WA 98503 Phone: 360-754-3934 Fax: 360-943-8023 | |
Gordon F. Rennie, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Dr. Cynthia Barbara Aller, D.O., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Ste 200, Lacey, WA 98503 Phone: 360-754-3934 Fax: 360-943-8023 | |
Jay S Smitherman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516 Phone: 360-923-4600 Fax: 360-923-4663 | |
Dr. David Lynn Fairbrook, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Northwest Ln Se, Lacey, WA 98503 Phone: 360-491-4460 |