| Dr Andrea Renate Manzo, MD | |
|
1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | |
| (253) 761-4200 | |
| (253) 761-4201 |
| Full Name | Dr Andrea Renate Manzo |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 1304 Fawcett Ave Ste 100, Tacoma, 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 |
|---|---|---|---|
| 1669545679 | NPI | - | NPPES |
| G8878588 | Other | WA | PTAN-CMBC |
| 184431 | Other | WA | LABOR AND INDUSTRIES/WC UNION AVENUE OPEN |
| 0243528 | Other | WA | LABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER |
| 3231MA | Other | WA | REGENCE BLUE SHIELD TRA |
| 500671257 | Medicaid | OR | |
| 7251MA | Other | WA | REGENCE BLUE SHIELD UNION AVENUE OPEN |
| 8411456 | Medicaid | WA | |
| 8951848 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST |
| G8803535 | Other | WA | PTAN-WESTERN STATE HOSPITAL |
| 0249528 | Other | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST |
| 184430 | Other | WA | LABOR AND INDUSTRIES/WC TRA |
| 8803056 | Other | WA | MEDICARE PIN TRA KING COUNTY |
| P00689845 | Other | WA | RR MEDICARE-CAROL MILGARD BREAST CENTER |
| 8949635 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-CAROL MILGARD BREAST CENTER |
| G8882929 | Other | WA | PTAN-MIO1 |
| G8927637 | Other | WA | PTAN-UAOM |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| St Francis Community Hospital | Federal way, WA | Hospital |
| St Elizabeth Hospital | Enumclaw, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tra-minw P S | 2163316167 | 140 |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | 3375603970 | 103 |
| The Carol Milgard Breast Center | 8022172212 | 9 |
| Tra-minw P S | 2163316167 | 140 |
| Entity Name | Tra-minw P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
| Entity Name | Union Avenue Open Mri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
| Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
| Entity Name | The Carol Milgard Breast Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063661098 PECOS PAC ID: 8022172212 Enrollment ID: O20090203000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrea Renate Manzo, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Dr Andrea Renate Manzo, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 Ph: (253) 761-4200 |
Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Dr. Joseph Tsai, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-4994 Fax: 253-403-4991 |