| Bradley K Fankhauser, MD | |
|
4410 106th St Sw, Mukilteo, WA 98275-4700 | |
| (425) 493-6001 | |
| (425) 493-6030 |
| Full Name | Bradley K Fankhauser |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 4410 106th St Sw, Mukilteo, 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 |
|---|---|---|---|
| 1922269489 | NPI | - | NPPES |
| MD60221736 | Other | WA | LICENSE |
| 2014376 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD60221736 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evergreenhealth Home Care | Kirkland, WA | Home health agency |
| Whidbeyhealth Medical Center | Coupeville, WA | Hospital |
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Care Washington Pllc | 6406752153 | 697 |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley K Fankhauser, MD 7600 Evergreen Way, Everett, WA 98203-6421 Ph: (206) 860-5414 | Bradley K Fankhauser, MD 4410 106th St Sw, Mukilteo, WA 98275-4700 Ph: (425) 493-6001 |
Catherine Hawkins, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6013 | |
Dr. Khaled Shaker Elghonemy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-339-5453 Fax: 425-252-4441 | |
Teresa Murphy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6030 | |
Eileen Delacruz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6004 | |
Robert Mcknight, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6001 |