Dr Jason Lee Codding, MD | |
2901 174th St Ne, Marysville, WA 98271-4743 | |
(360) 454-1947 | |
(360) 454-1991 |
Full Name | Dr Jason Lee Codding |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 2901 174th St Ne, Marysville, 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 |
---|---|---|---|
1710245071 | NPI | - | NPPES |
1710245071 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2017006727 (Missouri) | Primary |
207X00000X | Orthopaedic Surgery | MD60846830 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optum Care Washington Pllc | 6406752153 | 559 |
Entity Name | Optum Care Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Lee Codding, MD Po Box 5127, Everett, WA 98206-5127 Ph: (360) 454-1947 | Dr Jason Lee Codding, MD 2901 174th St Ne, Marysville, WA 98271-4743 Ph: (360) 454-1947 |
Ashley Lee, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 Fax: 360-454-1991 | |
Nicholas Wilcox, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 |