Justin Michael Medlock, DO | |
2209 E 32nd St, Tacoma, WA 98404-4922 | |
(253) 593-0232 | |
Not Available |
Full Name | Justin Michael Medlock |
---|---|
Gender | Male |
Speciality | Osteopathic Manipulative Medicine |
Experience | 11 Years |
Location | 2209 E 32nd St, 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 |
---|---|---|---|
1891132866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP60668377 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Group Health Cooperative Home & Community Services | Seattle, WA | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Justin Michael Medlock, DO 1007 39th Ave Se, Puyallup, WA 98374-2192 Ph: (509) 241-7205 | Justin Michael Medlock, DO 2209 E 32nd St, Tacoma, WA 98404-4922 Ph: (253) 593-0232 |
Dr. Kristina Siu Petsas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Mrs. Anne Garces Laporte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
James M Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Loren B Betteridge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3733 S Thompson Ave, Tacoma, WA 98418 Phone: 253-472-4473 Fax: 253-474-3056 | |
Dr. Thuy-tien V Le, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 732 Broadway Ste 201, Tacoma, WA 98402 Phone: 702-871-8535 Fax: 941-499-0035 | |
Alexander K Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-459-7785 | |
Willa Alise Marinov, RN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Avenue Department Of Family Medicine, Tacoma, WA 98431 Phone: 253-968-4644 |