Dr Thomas Lee Busick, MD | |
501 Se 172nd Ave, Vancouver, WA 98684-9542 | |
(360) 882-2778 | |
Not Available |
Full Name | Dr Thomas Lee Busick |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 20 Years |
Location | 501 Se 172nd Ave, Vancouver, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528241759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | M7887 (Texas) | Secondary |
207N00000X | Dermatology | 61482399 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Vancouver Clinic Inc Ps | 3173436490 | 471 |
Entity Name | The Vancouver Clinic Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Lee Busick, MD 1307 8th Avenue, Suite 607, Fort Worth, TX 76104-4163 Ph: (817) 335-6155 | Dr Thomas Lee Busick, MD 501 Se 172nd Ave, Vancouver, WA 98684-9542 Ph: (360) 882-2778 |
Craig Stephen Hersh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-418-6001 | |
Zheng Qian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Se 172nd Ave, Vancouver, WA 98684 Phone: 360-882-2778 Fax: 360-604-1719 | |
Dr. Gabrielle Domonique Robinson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St Ste 240, Vancouver, WA 98686 Phone: 360-882-2778 | |
Karen M Vigeland, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Avenue, Bldg B Suite 303, Vancouver, WA 98664 Phone: 360-254-5267 Fax: 360-254-6089 | |
Katherine Leslie Boyd, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Se 172nd Ave, Suite 250, Vancouver, WA 98684 Phone: 360-882-2778 Fax: 360-604-1719 | |
Joel H Datloff, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664 Phone: 360-254-5267 Fax: 360-254-6089 |