Gregory W Allen, MD, PHD | |
4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | |
(360) 412-8960 | |
(360) 412-8970 |
Full Name | Gregory W Allen |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 22 Years |
Location | 4525 3rd Ave Se, Lacey, 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 |
---|---|---|---|
1508817404 | NPI | - | NPPES |
1508817404 | Other | NPI | |
8503872 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD00047784 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Centralia Hospital | Centralia, WA | Hospital |
Providence St Peter Hospital | Olympia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiantcare Physicians Pllc | 6608869581 | 5 |
Entity Name | Radiantcare Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851378160 PECOS PAC ID: 6608869581 Enrollment ID: O20040406001285 |
Mailing Address | Practice Location Address |
---|---|
Gregory W Allen, MD, PHD 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 Ph: (360) 412-8960 | Gregory W Allen, MD, PHD 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 Ph: (360) 412-8960 |
Justin William Suszko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se Ste 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
Michael Connor, MD Radiology Medicare: Medicare Enrolled Practice Location: 4525 3rd Ave Se # 100, Lacey, WA 98503 Phone: 360-412-8960 | |
Joseph Robert Hartman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
Haleigh Ann Werner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
James F Raymond, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 |