Dr Phillip C Lesh, MD | |
1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | |
(253) 761-4200 | |
(253) 383-3553 |
Full Name | Dr Phillip C Lesh |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1304 Fawcett Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093888091 | NPI | - | NPPES |
8944811 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-TRA |
8945535 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI |
AB36527 | Other | WA | MEDICARE PIN TRA KING COUNTY |
LE4084 | Other | WA | REGENCE BLUE SHIELD TRA |
119259 | Other | WA | LABOR AND INDUSTRIES/WC UNION AVENUE OPEN |
40721 | Other | WA | LABOR AND INDUSTRIES/WC TRA |
300023013 | Other | WA | RR MEDICARE TRA |
G8892476 | Other | WA | PTAN-DOCTORS CLINIC |
LE7252 | Other | WA | REGENCE BLUE SHIELD UNION AVENUE OPEN |
0249526 | Other | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST |
8125379 | Medicaid | WA | |
8951850 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST |
G8881780 | Other | WA | PTAN-MIO1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 00023770 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD00023770 (Washington) | Primary |
Entity Name | Multicare Health System |
---|---|
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 |
---|---|
Dr Phillip C Lesh, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Dr Phillip C Lesh, MD 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 Ph: (253) 761-4200 |
Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553 |