Jack Ryan Walter, MD | |
9040 Jackson Ave Mamc Urology, Tacoma, WA 98431 | |
(253) 968-2300 | |
Not Available |
Full Name | Jack Ryan Walter |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 24 Years |
Location | 9040 Jackson Ave Mamc Urology, Tacoma, 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 |
---|---|---|---|
1306879366 | NPI | - | NPPES |
1306879366 | Medicaid | WA | |
P01715983 | Other | WA | RR MEDICARE WVH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD60267047 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
Multicare Auburn Medical Center | Auburn, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Multicare Health System | 7719899897 | 1689 |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Jack Ryan Walter, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Jack Ryan Walter, MD 9040 Jackson Ave Mamc Urology, Tacoma, WA 98431 Ph: (253) 968-2300 |
Jesse Lee Mierzwiak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3124 S 19th St, Ste 320, Tacoma, WA 98405 Phone: 253-301-5100 | |
Dr. Scott Paul Cuda, M.D. Urology Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center 9040 Jackson Avenu, Tacoma, WA 98431 Phone: 253-968-2300 | |
Michael Charles Deberardinis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-372-7102 | |
Zachary Evan Panfili, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Dr. William Matthew Dean, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 314 Martin Luther King Jr Way, Suite 103, Tacoma, WA 98405 Phone: 253-272-4013 Fax: 253-627-5367 | |
Carolyn Anne Salter, M.D. Urology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 | |
Timothy Brand, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2300 |