Richard J Tanaka, MD | |
1400 Pottery Ave, Port Orchard, WA 98366-3711 | |
(360) 895-5000 | |
Not Available |
Full Name | Richard J Tanaka |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 1400 Pottery Ave, Port Orchard, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174675250 | NPI | - | NPPES |
8207169 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00032824 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Richard J Tanaka, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000 | Richard J Tanaka, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000 |
Ifesinachi S Oguakwa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 So Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 | |
Melissa Ayn Meyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4680 Fax: 360-895-4709 | |
Daniel Eldredge Diamond, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 | |
Christine Agbayani Lomotan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 | |
Robert R Rankin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188 | |
William E Underdown, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188 | |
Emily Assavapisitkul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 Fax: 877-516-9023 |