| Brian Fung, | |
|
12924 Se Kent Kangley Rd, Kent, WA 98030-7940 | |
| (253) 215-1097 | |
| Not Available |
| Full Name | Brian Fung |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12924 Se Kent Kangley Rd, Kent, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194088559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD60546384 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Northwest Observation Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023539376 PECOS PAC ID: 9032480942 Enrollment ID: O20170810000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Fung, 1345 Rxr Plz, Uniondale, NY 11556-1301 Ph: (516) 783-4600 | Brian Fung, 12924 Se Kent Kangley Rd, Kent, WA 98030-7940 Ph: (253) 215-1097 |
Peter Lightbody, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26004 104th Ave Se, Kent, WA 98030 Phone: 425-251-4040 | |
Katisha Denise Eng, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7788 | |
Dieter R. Eppel, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7788 |