Tod Evans Wurst, MD | |
1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | |
(253) 761-4200 | |
(253) 383-3553 |
Full Name | Tod Evans Wurst |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 38 Years |
Location | 1304 Fawcett Ave, Tacoma, 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 |
---|---|---|---|
1891868535 | NPI | - | NPPES |
81554 | Other | WA | LABOR AND INDUSTRIES/WC TRA |
8944812 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-TRA |
G8881792 | Other | WA | PTAN-MIO1 |
8945541 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI |
AB36540 | Other | WA | MEDICARE PIN TRA KING COUNTY |
0249543 | Other | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST |
8140253 | Medicaid | WA | |
WU0000 | Other | WA | REGENCE BLUE SHIELD TRA |
8951861 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST |
300024506 | Other | WA | RR MEDICARE TRA |
0260001 | Other | WA | LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 00029780 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD00029780 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
St Joseph Medical Center | Tacoma, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tra-minw P S | 2163316167 | 127 |
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 |
Entity Name | Tra-minw P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
Entity Name | Union Avenue Open Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
Mailing Address | Practice Location Address |
---|---|
Tod Evans Wurst, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Tod Evans Wurst, 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 | |
Dr. Joseph Tsai, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-4994 Fax: 253-403-4991 |