Dr George R Mount Iv, MD | |
9040a Jackson Ave, Rheumatology, Tacoma, WA 98431-1100 | |
(253) 968-2287 | |
(253) 968-0448 |
Full Name | Dr George R Mount Iv |
---|---|
Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 9040a Jackson Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740254200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22745 (Nebraska) | Secondary |
207RR0500X | Internal Medicine - Rheumatology | MD171663 (Oregon) | Primary |
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
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Dr George R Mount Iv, MD 3181swsam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8311 | Dr George R Mount Iv, MD 9040a Jackson Ave, Rheumatology, Tacoma, WA 98431-1100 Ph: (253) 968-2287 |
Dr. Christoffer Aaron Spoja, D.O. Rheumatology Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Ctr, Tacoma, WA 98431 Phone: 253-968-0208 | |
Christen E Eidal, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 | |
Ms. Jessica Wai-ying Tam, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Bryan Wilson, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 612-916-8558 | |
Dr. Richard Lyle Urbon Jr., M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9040a Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0166 | |
Roger Jay Stegman, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 9040 Reid St, Attn Mchj Qcr Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mohammad Qasim Baig, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 |