Molli A Dutra, MD | |
3425 Ensign Rd Ne, Olympia, WA 98506-5425 | |
(360) 923-7680 | |
Not Available |
Full Name | Molli A Dutra |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 26 Years |
Location | 3425 Ensign Rd Ne, Olympia, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710013263 | NPI | - | NPPES |
2023026 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00003476 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
Provider Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Molli A Dutra, MD Po Box 34584, Seattle, WA 98124-1584 Ph: (509) 241-7349 | Molli A Dutra, MD 3425 Ensign Rd Ne, Olympia, WA 98506-5425 Ph: (360) 923-7680 |
Dr. Jay Woodworth Nelson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 Black Lake Blvd Sw, Olympia, WA 98502 Phone: 360-943-2334 Fax: 360-943-2879 | |
Dr. James H. Grimes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1405 Harrison Ave Nw, Ste. 101, Olympia, WA 98502 Phone: 360-357-5548 Fax: 360-786-9797 | |
Dr. Kimberly A Carr-yeates, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1510 Cooper Point Rd Sw, Ste 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Dr. Joseph Beaushaw, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 Black Lake Blvd Sw, Olympia, WA 98502 Phone: 360-943-2334 | |
Brian W Sullivan, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-456-4812 | |
Olympia Eye Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-456-4812 | |
Kim L Hoover, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7650 |