Dr Indrawan Husodo, MD | |
990 Sylvan Way, Bremerton, WA 98310-2851 | |
(360) 479-3657 | |
(360) 373-7616 |
Full Name | Dr Indrawan Husodo |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 45 Years |
Location | 990 Sylvan Way, Bremerton, 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 |
---|---|---|---|
1376541847 | NPI | - | NPPES |
72669 | Other | WA | LABOR AND INDUSTRIES |
HU0090 | Other | WA | REGENCE BLUE SHIELD |
8132292 | Medicaid | WA | |
91084721521 | Other | WA | KPS |
06487001 | Other | WA | GROUP HEALTH CORP |
910847215 | Other | WA | PREMERA BLUE CROSS |
050042796 | Other | WA | RAILROAD MEDCIARE |
8933482 | Other | WA | VICTIMS OF CRIME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00028376 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Harrison Medical Center | Bremerton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olympic Anesthesia Services, Inc | 4587551064 | 33 |
Entity Name | Olympic Anesthesia Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586125 PECOS PAC ID: 4587551064 Enrollment ID: O20040301000362 |
Mailing Address | Practice Location Address |
---|---|
Dr Indrawan Husodo, MD 990 Sylvan Way, Bremerton, WA 98310-2851 Ph: (360) 479-3657 | Dr Indrawan Husodo, MD 990 Sylvan Way, Bremerton, WA 98310-2851 Ph: (360) 479-3657 |
Dr. Henry Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Charles L Lamb, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Dr. Nancy D Briller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Dr. Samuel Gilbert Espiritu, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 603-475-4416 | |
Rami Soufan, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 990 Sylvan Way Ste 101, Bremerton, WA 98310 Phone: 360-479-3657 | |
Dr. Michael Lee Johnson, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Dr. Kenneth David Klions, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 |