Mr Edward G Prevatt, MD | |
1400 E Kincaid St, Mount Vernon, WA 98274-4127 | |
(360) 428-2586 | |
(360) 428-6470 |
Full Name | Mr Edward G Prevatt |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1400 E Kincaid St, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184019325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD61223363 (Washington) | Primary |
Entity Name | Public Hospital Dist No 1 Skagit |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward G Prevatt, MD 648 Newton Pl Nw, Apt 2, Washington, DC 20010-1737 Ph: (240) 533-1805 | Mr Edward G Prevatt, MD 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: (360) 428-2586 |
Patricia A Franklin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 | |
Allison J. Porter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E. Kincade Street, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Mark L. Johnson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 E. Kincaid St., Skagit Regional Clinics, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Dr. Steven S Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 E. Kincaid St., Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Jivatesh Singh Tung, MD Surgery Medicare: Medicare Enrolled Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Dr. Weslee Chew, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 |