Dr Lauren Kathleen Fetty, MD | |
939 Caroline St, Port Angeles, WA 98362-3909 | |
(360) 565-9003 | |
(360) 565-9001 |
Full Name | Dr Lauren Kathleen Fetty |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 939 Caroline St, Port Angeles, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407268857 | NPI | - | NPPES |
0427056 | Other | WA | L&I-VANCOUVER RADIOLOGY |
0426796 | Other | WA | L&I-RADIA REST OF WA |
0426800 | Other | WA | L&I-EVERGREEN RADIA |
2160014 | Medicaid | WA | |
0426798 | Other | WA | L&I-RADIA KING CTY |
0426797 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
0426804 | Other | WA | L&I-SOUTH SOUND RADIOLOGY |
0426805 | Other | WA | L&I-SEATTE RADIOLOGY |
Facility Name | Location | Facility Type |
---|---|---|
Providence Centralia Hospital | Centralia, WA | Hospital |
Arbor Health Morton Hospital | Morton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Sound Radiologists Inc P S | 1254229305 | 52 |
Radia Inc P S | 9931012812 | 256 |
Entity Name | Radia Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
Entity Name | Evergreen Radia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20031125000896 |
Entity Name | South Sound Radiologists Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20040309001119 |
Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20060106000841 |
Entity Name | Radia Imaging Center Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20190118000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Lauren Kathleen Fetty, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Dr Lauren Kathleen Fetty, MD 939 Caroline St, Port Angeles, WA 98362-3909 Ph: (360) 565-9003 |
Dr. Kirk A Cole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. Benjamin P Pisciotta, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. Juleann C Gandara, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. Sherrie L Chatzkel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. Clare S Bertucio, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 |