| Charles J Kucera, MD | |
|
5814 Graham Ave Ste 100, Sumner, WA 98390-2728 | |
| (253) 891-7450 | |
| Not Available |
| Full Name | Charles J Kucera |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 5814 Graham Ave Ste 100, Sumner, 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 |
|---|---|---|---|
| 1811004351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41843 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 36085832 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | MD60057955 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Good Samaritan Home Health | Tacoma, WA | Home health agency |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 1815 |
| Select Outpatient Services Inc | 4082868815 | 606 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Kucera, MD 5814 Graham Ave Ste 100, Sumner, WA 98390-2728 Ph: (253) 891-7450 | Charles J Kucera, MD 5814 Graham Ave Ste 100, Sumner, WA 98390-2728 Ph: (253) 891-7450 |
William E. Biljan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5814 Graham Ave, Suite 100, Sumner, WA 98390 Phone: 253-863-4474 Fax: 253-863-4062 | |
Michelle Rae Show, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1518 Main St, Sumner, WA 98390 Phone: 253-697-7400 | |
Fred J. Leitz Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5814 Graham Ave, Suite 100, Sumner, WA 98390 Phone: 253-863-4474 Fax: 253-863-4062 | |
Dr. Kent R Walker, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 16202 64th St E Ste 104, Sumner, WA 98390 Phone: 541-969-3344 Fax: 253-987-7049 |