Dr Randi Wayne Hart, MD | |
19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | |
(425) 563-1500 | |
(425) 563-1501 |
Full Name | Dr Randi Wayne Hart |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 19020 33rd Ave W Ste 210, Lynnwood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497741870 | NPI | - | NPPES |
0377781 | Other | WA | L&I-RADIA KING COUNTY |
0377786 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
0377789 | Other | WA | L&I-EVERGREEN RADIA |
1497741870 | Medicaid | ID | |
8552739 | Medicaid | WA | |
0252750 | Other | WA | L&I-RADIA REST OF WA |
7207960 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M-12202 (Idaho) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD60097539 (Washington) | Primary |
Entity Name | Inland Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851352348 PECOS PAC ID: 6608763016 Enrollment ID: O20040301001171 |
Mailing Address | Practice Location Address |
---|---|
Dr Randi Wayne Hart, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Dr Randi Wayne Hart, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 |
Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Frederick F Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Judson E Threlkeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Andrew James Harrison, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 |