Miss Hasseltine Elizabeth Cooper, DO | |
700 Lilly Rd Ne, Olympia, WA 98506-5115 | |
(360) 923-7000 | |
Not Available |
Full Name | Miss Hasseltine Elizabeth Cooper |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 700 Lilly Rd Ne, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699208413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 20A18661 (California) | Secondary |
207N00000X | Dermatology | OP61424694 (Washington) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Miss Hasseltine Elizabeth Cooper, DO 700 Lilly Rd Ne, Olympia, WA 98506-5115 Ph: (360) 923-7000 | Miss Hasseltine Elizabeth Cooper, DO 700 Lilly Rd Ne, Olympia, WA 98506-5115 Ph: (360) 923-7000 |
David A Remis, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Dr. Vivian A Lombillo, MD PHD Dermatology Medicare: Medicare Enrolled Practice Location: 703 Lilly Rd Ne Suite 105, Northwest Pediatric Dermatology, Pllc, Olympia, WA 98506 Phone: 360-539-6141 | |
Shauna M Richert, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 W Bay Dr Nw, Suite 301, Olympia, WA 98502 Phone: 360-413-8760 Fax: 360-413-8839 | |
Dr. James L Brazil, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 424 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-459-1700 Fax: 360-459-0537 | |
Dr. Kaley Myer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 W Bay Dr Nw Ste 301, Olympia, WA 98502 Phone: 360-413-8760 | |
Dr. Jacob Howard Bauer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 W Bay Dr Nw, Ste 301, Olympia, WA 98502 Phone: 360-413-8760 | |
Dr. James William Young, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5127 Klahanie Dr Nw, Olympia, WA 98502 Phone: 360-866-4535 |