Timothy O O'dea, MD | |
1201 S Miller St, Wenatchee, WA 98801-3201 | |
(509) 662-1511 | |
Not Available |
Full Name | Timothy O O'dea |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1201 S Miller St, Wenatchee, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942255385 | NPI | - | NPPES |
XPY200571 | Medicaid | CA | |
8116543 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00037234 (Washington) | Primary |
Entity Name | Lifelinc Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
Mailing Address | Practice Location Address |
---|---|
Timothy O O'dea, MD Po Box 34940, Seattle, WA 98124-1940 Ph: (503) 372-2740 | Timothy O O'dea, MD 1201 S Miller St, Wenatchee, WA 98801-3201 Ph: (509) 662-1511 |
Dr. Jordan Christopher Friel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Deborah M. Witham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
David C. Wiggum, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Jeb A. Sorom, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Garrett Wolter, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Dr. Rudy Wayne Linterman, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
John F. Colpitts, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 |