Dr Jacob C Smith, | |
1959 Ne Pacific St, Box 357115, Seattle, WA 98195-7200 | |
(206) 598-7200 | |
(206) 598-7690 |
Full Name | Dr Jacob C Smith |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 11 Years |
Location | 1959 Ne Pacific St, Seattle, 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 |
---|---|---|---|
1659714970 | NPI | - | NPPES |
2027913 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | MD60585551 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD60585551 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Bellingham, WA | Hospital |
Peacehealth United General Medical Center | Sedro woolley, WA | Hospital |
Peacehealth Ketchikan Medical Center | Ketchikan, AK | Hospital |
Peacehealth Peace Island Medical Center | Friday harbor, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Radiologists Inc Ps | 1456248368 | 27 |
Mt Baker Imaging Llc | 7113963802 | 31 |
Northwest Radiologists Inc Ps | 1456248368 | 27 |
Mt Baker Imaging Llc | 7113963802 | 31 |
Peacehealth | 9436067618 | 50 |
Entity Name | Northwest Radiologists Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013907955 PECOS PAC ID: 1456248368 Enrollment ID: O20040303001109 |
Entity Name | Mt Baker Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295725133 PECOS PAC ID: 7113963802 Enrollment ID: O20050705000191 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1396705539 PECOS PAC ID: 9436067618 Enrollment ID: O20080114000791 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob C Smith, 1959 Ne Pacific St, Box 357115, Seattle, WA 98195-7115 Ph: (206) 598-7200 | Dr Jacob C Smith, 1959 Ne Pacific St, Box 357115, Seattle, WA 98195-7200 Ph: (206) 598-7200 |
Laura Morrison, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 904 7th Ave, Seattle, WA 98104 Phone: 206-860-4691 Fax: 206-329-1261 | |
Dr. Sarah Bastawrous, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Diagnostic Imaging, S-rad-114, Seattle, WA 98108 Phone: 312-450-5258 | |
Bahar Mansoori, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Dr. Guilherme Moura Da Cunha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Richard Ha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, C-212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065 | |
Patrick C Freeny, Radiology Medicare: Not Enrolled in Medicare Practice Location: University Of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-598-6214 | |
Dr. Julie Emiko Takasugi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Dept. Radiology S-113, Psvahcs, Seattle, WA 98108 Phone: 206-764-2444 Fax: 206-277-3415 |