| Clyde R Addison, MD | |
|
2420 S Union Ave Ste 240, Tacoma, WA 98405-1323 | |
| (253) 459-6166 | |
| Not Available |
| Full Name | Clyde R Addison |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 2420 S Union Ave Ste 240, Tacoma, 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 |
|---|---|---|---|
| 1831121268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00039054 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacmed Clinics | 2466350657 | 191 |
| 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 | Pacmed Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Clyde R Addison, MD 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 Ph: (253) 459-6166 | Clyde R Addison, MD 2420 S Union Ave Ste 240, Tacoma, WA 98405-1323 Ph: (253) 459-6166 |
Dr. Kristina Siu Petsas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Mrs. Anne Garces Laporte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
James M Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Dr. Myra Haq, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2209 E 32nd St, Tacoma, WA 98404 Phone: 253-441-2634 | |
Loren B Betteridge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3733 S Thompson Ave, Tacoma, WA 98418 Phone: 253-472-4473 Fax: 253-474-3056 | |
Dr. Thuy-tien V Le, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 732 Broadway Ste 201, Tacoma, WA 98402 Phone: 702-871-8535 Fax: 941-499-0035 | |
Alexander K Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-459-7785 |