Mikal John Nelson, MD | |
1 Boone Rd, Bremerton, WA 98312-1894 | |
(360) 475-4214 | |
Not Available |
Full Name | Mikal John Nelson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1 Boone Rd, Bremerton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316267537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 54536 (Minnesota) | Secondary |
207Y00000X | Otolaryngology | 61336572 (Washington) | Primary |
Entity Name | Multicare Health System |
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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 |
---|---|
Mikal John Nelson, MD 1 Boone Rd, Bremerton, WA 98312-1894 Ph: (360) 475-4214 | Mikal John Nelson, MD 1 Boone Rd, Bremerton, WA 98312-1894 Ph: (360) 475-4214 |
Dr. Michael Maddox, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, One Boone Road, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344 | |
Dr. Craig Lee Cupp, MD, ED.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Boone Rd, Attn: Medical Staff Services, Bremerton, WA 98312 Phone: 360-475-4214 | |
Kristina Elise Hart, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344 | |
Dr. John Charles Nicholson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Naval Hospital, Bremerton, WA 98312 Phone: 360-475-4426 |