Daryl Sudasena, | |
406 Black Hills Ln Sw, Olympia, WA 98502-8143 | |
(360) 754-1735 | |
Not Available |
Full Name | Daryl Sudasena |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 13 Years |
Location | 406 Black Hills Ln Sw, Olympia, 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 |
---|---|---|---|
1295153880 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Capital Medical Center | Olympia, WA | Hospital |
Providence St Peter Hospital | Olympia, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Willapa Harbor Hospital | South bend, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olympia Multi Specialty Clinic | 4789571092 | 14 |
Entity Name | Olympia Multi Specialty Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356386783 PECOS PAC ID: 4789571092 Enrollment ID: O20040302000502 |
Mailing Address | Practice Location Address |
---|---|
Daryl Sudasena, 406 Black Hills Ln Sw, Olympia, WA 98502-8143 Ph: (360) 754-1735 | Daryl Sudasena, 406 Black Hills Ln Sw, Olympia, WA 98502-8143 Ph: (360) 754-1735 |
Miss Tui Agaapapalagi Lauilefue, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 200, Olympia, WA 98502 Phone: 360-596-4899 Fax: 360-596-4889 | |
Monique C. Semien, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Philip William Berger, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502 Phone: 360-754-1737 Fax: 360-704-3408 | |
Mr. Robert Love Huck, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Suite 201, Olympia, WA 98503 Phone: 360-413-8272 Fax: 360-413-8878 | |
Dr. Ngozi Achebe, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Capitol Mall Dr Sw, Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-704-4751 | |
Dr. Robert C Tomford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506 Phone: 360-413-8121 Fax: 360-413-8865 | |
Brad Allan Howard, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Ste 100, Olympia, WA 98506 Phone: 360-413-8525 Fax: 360-412-6477 |