Ha Ta, MD | |
1415 E Kincaid St, Skagit Valley Hospital, Hospitalists Office, Mount Vernon, WA 98274-4126 | |
(360) 416-5750 | |
(360) 416-5758 |
Full Name | Ha Ta |
---|---|
Gender | Female |
Speciality | General Practice |
Experience | 28 Years |
Location | 1415 E Kincaid St, Mount Vernon, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568437069 | NPI | - | NPPES |
309609 | Other | WA | LABOR & INDUSTRIES |
100400710A | Medicaid | KS | |
1568437069 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0429415 (Kansas) | Secondary |
207R00000X | Internal Medicine | MD60287362 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evergreen Health Hospice Care | Kirkland, WA | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacmed Clinics | 2466350657 | 181 |
John H Addison Md Ps | 9335032887 | 7 |
Entity Name | Pacmed Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033 |
Entity Name | John H Addison Md Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497706774 PECOS PAC ID: 9335032887 Enrollment ID: O20040206000718 |
Entity Name | Public Hospital Dist No 1 Skagit |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
Mailing Address | Practice Location Address |
---|---|
Ha Ta, MD 1400 E Kincaid St, Skagit Regional Clinics, Attn: Credentialing, Mount Vernon, WA 98274-4127 Ph: (360) 428-2500 | Ha Ta, MD 1415 E Kincaid St, Skagit Valley Hospital, Hospitalists Office, Mount Vernon, WA 98274-4126 Ph: (360) 416-5750 |
Connie L. Davis, Internal Medicine Medicare: Medicare Enrolled Practice Location: 208 Hospital Parkway, Mount Vernon, WA 98274 Phone: 360-428-8260 Fax: 360-428-8576 | |
Ramy Lewez Hanna, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237 | |
Dr. Samuel M. Donohoe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 | |
Joshua David Larson, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2115 | |
Sankar S Alagugurusamy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-6113 Fax: 360-814-6110 | |
Dr. Junfeng Wang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S 13th St Ste 100, Mount Vernon, WA 98274 Phone: 360-814-2146 Fax: 360-814-2445 | |
David F. Hoeft, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 |