Dr Suzanne D Peregoy, DO | |
850 Maple Street, Medical Lake, WA 99022-0800 | |
(509) 565-4000 | |
(509) 565-4705 |
Full Name | Dr Suzanne D Peregoy |
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Gender | Female |
Speciality | Family Medicine |
Location | 850 Maple Street, Medical Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043657729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP60630409 (Washington) | Primary |
Entity Name | Department Of Social Dept Of Shs Div Of Instns |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467440602 PECOS PAC ID: 9133013725 Enrollment ID: O20040213000028 |
Mailing Address | Practice Location Address |
---|---|
Dr Suzanne D Peregoy, DO P.o. Box 800, Medical Lake, WA 99022-0800 Ph: (509) 565-4066 | Dr Suzanne D Peregoy, DO 850 Maple Street, Medical Lake, WA 99022-0800 Ph: (509) 565-4000 |
Dr. Ted Y Toribara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Thomas A. Crisp Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Steven W. Palmieri, PHD, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Douglas R Gwinn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 N Stanley St, Suite D, Medical Lake, WA 99022 Phone: 509-838-2531 | |
Dr. Eric D. Dant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Blesilda A Mamerto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 |