Dr Susana E Myers, DO | |
7205 265th St Nw, Stanwood, WA 98292-6221 | |
(425) 258-3900 | |
Not Available |
Full Name | Dr Susana E Myers |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 7205 265th St Nw, Stanwood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710164439 | NPI | - | NPPES |
2008112 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OP60146176 (Washington) | Primary |
Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Dr Susana E Myers, DO Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Dr Susana E Myers, DO 7205 265th St Nw, Stanwood, WA 98292-6221 Ph: (425) 258-3900 |
James Troutman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1502 Fax: 360-629-1524 | |
Dr. Mark Allen Keller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1500 | |
Dr. Arnold Andre Ronning, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9631 269th St Nw, Stanwood, WA 98292 Phone: 425-870-7384 |