Dr John David O'boyle, MD | |
4525 3rd Ave Se Ste 200, Lacey, WA 98503 | |
(360) 754-3934 | |
(360) 943-8023 |
Full Name | Dr John David O'boyle |
---|---|
Gender | Male |
Speciality | Gynecological Oncology |
Experience | 33 Years |
Location | 4525 3rd Ave Se Ste 200, Lacey, 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 |
---|---|---|---|
1306808381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | MD00039398 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Centralia Hospital | Centralia, WA | Hospital |
Providence St Peter Hospital | Olympia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376624981 PECOS PAC ID: 9234048323 Enrollment ID: O20040227000254 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
Mailing Address | Practice Location Address |
---|---|
Dr John David O'boyle, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Dr John David O'boyle, MD 4525 3rd Ave Se Ste 200, Lacey, WA 98503 Ph: (360) 754-3934 |
Robert Martin Ore, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se Ste 200, Lacey, WA 98503 Phone: 360-754-3934 |