Dr Thomas Matthew Burghardt, DPM | |
3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 | |
(253) 272-2999 | |
(253) 272-4699 |
Full Name | Dr Thomas Matthew Burghardt |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 31 Years |
Location | 3929 Bridgeport Way W Ste 308, University Place, 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 |
---|---|---|---|
1902829716 | NPI | - | NPPES |
7122997 | Medicaid | WA | |
1094770 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO 00000546 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fasa Family Wellness Pllc | 7618290297 | 9 |
Provider Name | Fasa Family Wellness Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790181899 PECOS PAC ID: 7618290297 Enrollment ID: O20150107000888 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Matthew Burghardt, DPM 1610 Bishop Rd Sw Ste 101, Tumwater, WA 98512-7303 Ph: (360) 338-0004 | Dr Thomas Matthew Burghardt, DPM 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 Ph: (253) 272-2999 |
Mark D Nellermoe Professional Service Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-627-4181 Fax: 253-272-5922 | |
Dr. Cynthia A Fenberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5225 Cirque Dr W, Suite 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850 | |
Cynthia A Fenberg Podiatrist Medicare: Medicare Enrolled Practice Location: 5225 Cirque Dr W, Ste 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850 | |
Dr. Mark Dale Nellermoe, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-627-4181 Fax: 253-272-5922 | |
Caleb Paul Thomas, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699 |