Dr Peter Brierley Odland, MD | |
1229 Madison St, Suite 1480, Seattle, WA 98104-3586 | |
(206) 346-6647 | |
(206) 346-6022 |
Full Name | Dr Peter Brierley Odland |
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Gender | Male |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 1229 Madison St, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093896102 | NPI | - | NPPES |
8722OD | Other | BLUE CROSS BLUE SHIELD | |
OD4638 | Other | BLUE CROSSBLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD00026929 (Washington) | Primary |
Entity Name | Skin Surgery Center, P.s. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841371960 PECOS PAC ID: 2567456882 Enrollment ID: O20040412000084 |
Mailing Address | Practice Location Address |
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Dr Peter Brierley Odland, MD 1229 Madison St, Suite 1480, Seattle, WA 98104-3586 Ph: (206) 346-6647 | Dr Peter Brierley Odland, MD 1229 Madison St, Suite 1480, Seattle, WA 98104-3586 Ph: (206) 346-6647 |
Dr. Fan Liu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4225 Roosevelt Way Ne, Seattle, WA 98105 Phone: 206-543-5290 Fax: 206-543-2489 | |
Ulrike I Ochs, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Dr. Ravi S Krishnan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-8806 Fax: 206-341-1910 | |
Ms. Ardeth Lazz Dunne, PAC Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1730 Minor Avenue, Ste 1000 Dermatology Associates Pllc, Seattle, WA 98101 Phone: 206-267-2100 Fax: 206-267-2101 | |
Virginia P Sybert, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-616-2135 | |
Dr. Tanya Kaur Greywal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St., Seattle, WA 98195 Phone: 206-520-5000 | |
Dr. Kerrie J. Spoonemore, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3216 Ne 45th Pl, Suite 203, Seattle, WA 98105 Phone: 205-525-1168 Fax: 206-525-1169 |