| Dr Charles Keith Fujisaki, MD | |
|
16259 Sylvester Rd Sw, Suite 501, Burien, WA 98166-3049 | |
| (206) 243-1100 | |
| (206) 431-0835 |
| Full Name | Dr Charles Keith Fujisaki |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 16259 Sylvester Rd Sw, Burien, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043285893 | NPI | - | NPPES |
| 0270452 | Other | WA | LABOR & INDUSTRIES |
| 104267500 | Other | CO | FEDERAL WORKMAN'S COMP |
| P00952912 | Other | WA | RAILROAD MEDICARE |
| 1043285893 | Medicaid | WA | |
| 4213838 | Other | CO | AETNA |
| 192640139 | Other | WA | US DEPT OF LABOR - OWCP |
| 900064263002 | Other | CO | ROCKY MOUNTAIN HMO |
| 90006426301 | Other | CO | PACIFICARE |
| 20872771 | Medicaid | CO | |
| FUA29319 | Other | CO | BLUE CROSS BLUE SHIELD |
| P00049979 | Other | CO | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 29370 (Colorado) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD60174702 (Washington) | Primary |
| Entity Name | Proliance Surgeons Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Keith Fujisaki, MD 805 Madison St, Suite 901, Seattle, WA 98104-1172 Ph: (206) 264-8100 | Dr Charles Keith Fujisaki, MD 16259 Sylvester Rd Sw, Suite 501, Burien, WA 98166-3049 Ph: (206) 243-1100 |
Jonathan Nam-hai Tran, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 16259 Sylvester Rd Sw Ste 301, Burien, WA 98166 Phone: 206-965-2710 Fax: 206-965-2729 | |
Glenn I Sharfin, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 16259 Sylvester Rd Sw, Burien, WA 98166 Phone: 206-965-2710 | |
Brian David Jones, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 16259 Sylvester Rd Sw, Suite 501, Burien, WA 98166 Phone: 206-243-1100 Fax: 206-431-0835 | |
William Barrett Payne, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 16259 Sylvester Rd Sw, Suite 501, Burien, WA 98166 Phone: 206-243-1100 | |
Dr. Eric Gordon Alyea, D.O., M.P.H. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 16259 Sylvester Rd Sw Ste 301, Burien, WA 98166 Phone: 206-965-2710 Fax: 206-965-2729 | |
Peters T. Otlans, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 16259 Sylvester Rd Sw Ste 501, Burien, WA 98166 Phone: 206-243-1100 Fax: 206-431-0835 |