Dr Walter C Fong, MD | |
10416 5th Ave Ne, Seattle, WA 98125-7402 | |
(206) 517-6700 | |
Not Available |
Full Name | Dr Walter C Fong |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 44 Years |
Location | 10416 5th Ave Ne, Seattle, 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 |
---|---|---|---|
1285623033 | NPI | - | NPPES |
8305351 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00025056 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
International Community Health Services | 5799695672 | 76 |
Entity Name | International Community Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376659151 PECOS PAC ID: 5799695672 Enrollment ID: O20040301000204 |
Mailing Address | Practice Location Address |
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Dr Walter C Fong, MD 10416 5th Ave Ne, Seattle, WA 98125-7402 Ph: (206) 517-6700 | Dr Walter C Fong, MD 10416 5th Ave Ne, Seattle, WA 98125-7402 Ph: (206) 517-6700 |
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