| Fasa Family Wellness, Pllc | |
|
1610 Bishop Rd Sw Ste 101 Tumwater WA 98512-7303 | |
| (360) 754-3338 | |
| Not Available |
| Full Name | Fasa Family Wellness, Pllc |
|---|---|
| Speciality | Podiatrist |
| Location | 1610 Bishop Rd Sw Ste 101, Tumwater, Washington |
| Authorized Official Name and Position | Dana Eberhard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3607062767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fasa Family Wellness, Pllc 1610 Bishop Rd Sw Ste 101 Tumwater WA 98512-7303 Ph: (360) 754-3338 | Fasa Family Wellness, Pllc 1610 Bishop Rd Sw Ste 101 Tumwater WA 98512-7303 Ph: (360) 754-3338 |
| NPI Number | 1790181899 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 7618290297 |
|---|---|
| Medicare Enrollment ID | O20150107000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790181899 | NPI | - | NPPES |
| Provider Name | Steven G Schatz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518060052 PECOS PAC ID: 3173429586 Enrollment ID: I20031208000811 |
| Provider Name | Karla Ann Trombello |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609979145 PECOS PAC ID: 9931005907 Enrollment ID: I20040216000545 |
| Provider Name | Thomas M Burghardt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902829716 PECOS PAC ID: 2163404914 Enrollment ID: I20040604000234 |
| Provider Name | Tasha L Mcelravy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710024849 PECOS PAC ID: 6800898297 Enrollment ID: I20070214000230 |
| Provider Name | Huy D Dang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801950373 PECOS PAC ID: 8022109974 Enrollment ID: I20070807000110 |
| Provider Name | Terrence E Hess |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194748913 PECOS PAC ID: 3072405331 Enrollment ID: I20100423000946 |
| Provider Name | Charles Lewis Mcgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710993613 PECOS PAC ID: 0749342426 Enrollment ID: I20100511000741 |
| Provider Name | Mark D Nellermoe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386733541 PECOS PAC ID: 3971795287 Enrollment ID: I20101005000882 |
| Provider Name | Scott Webster Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922102433 PECOS PAC ID: 3779762869 Enrollment ID: I20110120001259 |
| Provider Name | Lynn C Kovacevich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164671715 PECOS PAC ID: 9335318815 Enrollment ID: I20110818000260 |
| Provider Name | Teri L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073881397 PECOS PAC ID: 6507029220 Enrollment ID: I20120516000601 |
| Provider Name | Theresa H T Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487959219 PECOS PAC ID: 4789815259 Enrollment ID: I20140326000926 |
| Provider Name | Erum A Quadeer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871748079 PECOS PAC ID: 3971640780 Enrollment ID: I20140903000181 |
| Provider Name | James Cordell Mckee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740544634 PECOS PAC ID: 0840519096 Enrollment ID: I20150509000366 |
| Provider Name | Casey Bowles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689916728 PECOS PAC ID: 7810281755 Enrollment ID: I20160816000193 |
| Provider Name | Kevin D Lind |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942243993 PECOS PAC ID: 8628128188 Enrollment ID: I20180320001421 |
| Provider Name | Michael Anders Lundborg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487037867 PECOS PAC ID: 6800131434 Enrollment ID: I20181228002231 |
| Provider Name | Caleb Paul Thomas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578182812 PECOS PAC ID: 6204281686 Enrollment ID: I20231005001704 |
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