Kevin C Chang, MD | |
3901 Hoyt Ave, Everett, WA 98201-4918 | |
(425) 339-5435 | |
Not Available |
Full Name | Kevin C Chang |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 3901 Hoyt Ave, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821182411 | NPI | - | NPPES |
1019920 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 39282 (Washington) | Primary |
Entity Name | International Community Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376659151 PECOS PAC ID: 5799695672 Enrollment ID: O20040301000204 |
Mailing Address | Practice Location Address |
---|---|
Kevin C Chang, MD 7320 216th St Sw, Ste 220, Edmonds, WA 98026-8006 Ph: () - | Kevin C Chang, MD 3901 Hoyt Ave, Everett, WA 98201-4918 Ph: (425) 339-5435 |
Julie E Furlan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-258-3900 | |
Soo Y Kim, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5435 Fax: 512-472-5057 | |
Brian D Lueth, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3930 Hoyt Ave, Everett, WA 98201 Phone: 425-258-2020 Fax: 425-259-2801 | |
Kinza Taiaba Ahmad, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5435 Fax: 425-317-3932 | |
Lizabeth Raemont, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5435 | |
Thomas W Jones Iii, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3930 Hoyt Ave, Everett, WA 98201 Phone: 425-259-2020 Fax: 425-259-2801 | |
Robert Campbell, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3901 Hoyt, Everett, WA 98201 Phone: 425-339-5435 |