Dr Peter R Mandt, MD | |
1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | |
(425) 455-3600 | |
(425) 455-3920 |
Full Name | Dr Peter R Mandt |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1231 116th Ave Ne, Bellevue, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730158148 | NPI | - | NPPES |
0182419 | Other | WA | L & I |
G8899975 | Other | WA | MEDICARE EMRI |
P00284046 | Other | WA | MEDICARE RR KING CO. |
G8861216 | Other | WA | MEDICARE POSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD00023819 (Washington) | Primary |
Entity Name | Proliance Surgeons Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter R Mandt, MD 805 Madison St., Suite 901, Seattle, WA 98104-1172 Ph: (206) 264-8100 | Dr Peter R Mandt, MD 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 Ph: (425) 455-3600 |
Michael J Battaglia Ii, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1427 116th Ave Ne, Bellevue, WA 98004 Phone: 425-462-9800 Fax: 425-454-9143 | |
Dr. Lance S Ho, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 | |
Dean S Ricketts, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1231 116th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-454-5344 Fax: 425-462-0763 | |
Dr. Thomas E Trumble, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 Phone: 425-999-3580 Fax: 425-999-3122 | |
Mary Kathryn Thayer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3101 Northup Way Ste 201, Bellevue, WA 98004 Phone: 425-455-3600 Fax: 425-455-3920 | |
Alan Burchard Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1427 116th Ave Ne, Bellevue, WA 98004 Phone: 425-462-9800 Fax: 425-454-9143 | |
Matthew Lawrence Lyons, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3700 Fax: 425-502-3701 |