Gregory Alexander Kicska, MD | |
1959 Ne Pacific St, Seattle, WA 98195-0001 | |
(206) 598-6200 | |
Not Available |
Full Name | Gregory Alexander Kicska |
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Gender | Male |
Speciality | Radiology - Body Imaging |
Location | 1959 Ne Pacific St, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134278138 | NPI | - | NPPES |
0253628 | Other | WA | L&I |
1134278138 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | MD60079327 (Washington) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | MD60079327 (Washington) | Secondary |
Entity Name | The Association Of University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
Mailing Address | Practice Location Address |
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Gregory Alexander Kicska, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420 | Gregory Alexander Kicska, MD 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 598-6200 |
Laura Morrison, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 904 7th Ave, Seattle, WA 98104 Phone: 206-860-4691 Fax: 206-329-1261 | |
Dr. Sarah Bastawrous, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Diagnostic Imaging, S-rad-114, Seattle, WA 98108 Phone: 312-450-5258 | |
Bahar Mansoori, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Dr. Guilherme Moura Da Cunha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Richard Ha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, C-212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065 | |
Patrick C Freeny, Radiology Medicare: Not Enrolled in Medicare Practice Location: University Of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-598-6214 | |
Dr. Julie Emiko Takasugi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Dept. Radiology S-113, Psvahcs, Seattle, WA 98108 Phone: 206-764-2444 Fax: 206-277-3415 |