Dr Krystoff J Godlewski, MD | |
202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001-4939 | |
(253) 939-1230 | |
(253) 735-6479 |
Full Name | Dr Krystoff J Godlewski |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 202 N Division St, Auburn, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083676381 | NPI | - | NPPES |
8371049 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD00024832 (Washington) | Primary |
Entity Name | St Peters Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205025145 PECOS PAC ID: 7911814926 Enrollment ID: O20031204001245 |
Mailing Address | Practice Location Address |
---|---|
Dr Krystoff J Godlewski, MD 3505 N Union Ave, Tacoma, WA 98407-6136 Ph: (253) 759-1847 | Dr Krystoff J Godlewski, MD 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001-4939 Ph: (253) 939-1230 |
Eduardo Gil De Rubio, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 253-833-7711 | |
Dr. Robert Todd Middleton, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Ste 201, Auburn, WA 98001 Phone: 253-939-1230 Fax: 253-735-1211 | |
Abdul R Siddiqui, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 301, Auburn, WA 98001 Phone: 253-288-3040 | |
Iliana Domenica Micali, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 309 2nd St Se, Ste 100, Auburn, WA 98002 Phone: 253-333-8646 | |
Dr. James Martin Wagner, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001 Phone: 253-939-1230 | |
Madhavi Reddy Mandala, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 301, Auburn, WA 98001 Phone: 253-833-7256 |