Dr Grant Parker Tibbetts, MD | |
1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | |
(253) 761-4200 | |
(253) 761-4201 |
Full Name | Dr Grant Parker Tibbetts |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 1304 Fawcett Ave Ste 100, Tacoma, 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 |
---|---|---|---|
1356326656 | NPI | - | NPPES |
0394949 | Other | WA | L&I-DIAGNOSTIC IMAGING NW |
0335194 | Other | WA | L&I- TRA KING COUNTY |
0335196 | Other | WA | L&I-UNION AVE OPEN MRI |
0335106 | Other | WA | L&I-TRA PIERCE COUNTY |
500698491 | Medicaid | OR | |
2036409 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD175166 (Oregon) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD60456798 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
St Joseph Medical Center | Tacoma, WA | Hospital |
St Anthony Hospital | Gig harbor, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tra-minw P S | 2163316167 | 127 |
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | 3375603970 | 95 |
Entity Name | Proliance Surgeons Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
Entity Name | Tra-minw P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
Entity Name | Union Avenue Open Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
Entity Name | University Radiology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20140616002263 |
Mailing Address | Practice Location Address |
---|---|
Dr Grant Parker Tibbetts, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Dr Grant Parker Tibbetts, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 Ph: (253) 761-4200 |
Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Dr. Joseph Tsai, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-4994 Fax: 253-403-4991 |