Nisreen Fidda, MD | |
3900 Capital Mall Drive Sw, Olympia, WA 98502 | |
(360) 754-5858 | |
(360) 956-2574 |
Full Name | Nisreen Fidda |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 32 Years |
Location | 3900 Capital Mall Drive Sw, Olympia, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992764880 | NPI | - | NPPES |
203962 | Other | WA | LABOR & INDUSTRIES |
8412462 | Medicaid | WA |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
St Elizabeth Hospital | Enumclaw, WA | Hospital |
Capital Medical Center | Olympia, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cellnetix Pathology Pllc | 8224062971 | 54 |
Entity Name | The Polyclinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
Entity Name | Cellnetix Pathology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356310866 PECOS PAC ID: 8224062971 Enrollment ID: O20050921001093 |
Mailing Address | Practice Location Address |
---|---|
Nisreen Fidda, MD Po Box 3941, Seattle, WA 98124-3941 Ph: (360) 459-7770 | Nisreen Fidda, MD 3900 Capital Mall Drive Sw, Olympia, WA 98502 Ph: (360) 754-5858 |
Jay Michael Odell, MD Pathology Medicare: Medicare Enrolled Practice Location: 3900 Capital Mall Drive Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-956-2574 | |
Richard Osborn Whitten, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 | |
Frank J Brown, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8250 Fax: 360-413-8830 | |
Charles A Richert, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 | |
Terrence Anthony Schulte, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 | |
Dr. Oname Oro Burlingame, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 406 Black Hills Ln Sw Ste A, Olympia, WA 98502 Phone: 360-704-3400 | |
Dennis F Peck, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Road Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 |