Imelda D De Villa, MD | |
209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | |
(253) 596-3300 | |
(253) 596-3301 |
Full Name | Imelda D De Villa |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 209 Martin Luther King Jr Way, Tacoma, 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 |
---|---|---|---|
1457399370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD26369 (Maine) | Secondary |
207R00000X | Internal Medicine | MD00045869 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mi Post Acute Specialists Pc | 6204269483 | 6 |
Post Acute Specialists Of Vermont Plc | 7214352616 | 18 |
Entity Name | Mi Post Acute Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013425479 PECOS PAC ID: 6204269483 Enrollment ID: O20191202000612 |
Mailing Address | Practice Location Address |
---|---|
Imelda D De Villa, MD 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (253) 596-3300 | Imelda D De Villa, MD 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (253) 596-3300 |
Dr. Christoffer Aaron Spoja, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Ctr, Tacoma, WA 98431 Phone: 253-968-0208 | |
Christen E Eidal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 | |
Ms. Jessica Wai-ying Tam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Bryan Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 612-916-8558 | |
Dr. Richard Lyle Urbon Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040a Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0166 | |
Roger Jay Stegman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9040 Reid St, Attn Mchj Qcr Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mohammad Qasim Baig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 |