Dr Martha Ksepka, MD | |
1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | |
(253) 761-4200 | |
(253) 761-4201 |
Full Name | Dr Martha Ksepka |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 1304 Fawcett Ave Ste 100, Tacoma, 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 |
---|---|---|---|
1467727537 | NPI | - | NPPES |
0393577 | Other | WA | LNI-UAOM |
0393502 | Other | WA | LNI-TRA REST OF WA |
2103308 | Medicaid | WA | |
0393575 | Other | WA | LNI-TRA KING COUNTY |
0393578 | Other | WA | LNI-DINW |
0393581 | Other | WA | LNI-CMBC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD60855833 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD471052 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lehigh Valley Hospital | Allentown, PA | Hospital |
Lehigh Valley Hospital - Pocono | East stroudsburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Imaging Of Lehigh Valley Pc | 1557265212 | 122 |
Entity Name | Medical Imaging Of Lehigh Valley Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178023 PECOS PAC ID: 1557265212 Enrollment ID: O20040329001466 |
Mailing Address | Practice Location Address |
---|---|
Dr Martha Ksepka, MD C/o Bwr Innovations 3471 S. University Drive, Fargo, ND 58104 Ph: (701) 552-5271 | Dr Martha Ksepka, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Ph: (253) 761-4200 |
Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553 |