Quoc T Phan, MD | |
4800 College St Se, Lacey, WA 98503-4389 | |
(360) 486-2900 | |
(360) 486-2901 |
Full Name | Quoc T Phan |
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Gender | Male |
Speciality | Family Medicine |
Location | 4800 College St Se, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326261942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60469189 (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 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Capital Medical Center Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629214283 PECOS PAC ID: 3678639879 Enrollment ID: O20090312000311 |
Mailing Address | Practice Location Address |
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Quoc T Phan, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Quoc T Phan, MD 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 486-2900 |
Dr. Dirk Francis Havlak, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5130 Corporate Center Ct Se, Lacey, WA 98503 Phone: 360-413-8600 | |
Cecilia Christensen, PHYSICIAN ASSISTANT Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840 | |
Dr. Robert Dewey Vandenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4044 15th Ave Se, Suite A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Dr. Ann Tosomeen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3928 Pacific Avenue, Lacey, WA 98503 Phone: 360-455-1350 | |
Carlos Armando Rubio-reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 | |
Yan Geng, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Dr. Abraham Wuseok Jeon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 College St Se, Pmg Sw Wa Lacey Fam Med, Lacey, WA 98503 Phone: 360-486-2900 Fax: 360-486-2901 |