| Olympia Internal Medicine Assoc.,llc | |
|
525 Lilly Rd Ne Olympia WA 98506 | |
| (360) 493-4410 | |
| (360) 493-5511 |
| Full Name | Olympia Internal Medicine Assoc.,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 Lilly Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Gerald J Fay (OWNER) |
| Authorized Official Contact | 3604934410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Internal Medicine Assoc.,llc 525 Lilly Rd Ne Olympia WA 98506 Ph: (360) 493-4410 | Olympia Internal Medicine Assoc.,llc 525 Lilly Rd Ne Olympia WA 98506 Ph: (360) 493-4410 |
| NPI Number | 1922031855 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 12/17/2009 |
| Medicare PECOS PAC ID | 3173515723 |
|---|---|
| Medicare Enrollment ID | O20040401001507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922031855 | NPI | - | NPPES |
| 7095938 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00018118 (Washington) | Primary |
| Provider Name | Robert J Widrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942341417 PECOS PAC ID: 5496741191 Enrollment ID: I20040420001355 |
| Provider Name | Gerald J Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538200936 PECOS PAC ID: 3577555127 Enrollment ID: I20100127000166 |
Nisqually Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4816 She Nah Num Dr Se, Olympia, WA 98513 Phone: 360-459-5312 Fax: 360-407-0860 | |
Olympia Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Providence St Peter Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Northwest Vision Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Cooper Point Rd Sw, Suite 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
Daniel T. Dugaw,d.o., P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Black Hills Ln Sw, Suite E, Olympia, WA 98502 Phone: 360-352-8781 Fax: 360-352-8837 | |
Olympia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |