| Dr Eric Smith Ketchum, MD | |
| 1959 Ne Pacific St, Seattle, WA 98195-0001 | |
| (206) 543-0065 | |
| Not Available | 
| Full Name | Dr Eric Smith Ketchum | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Cardiovascular Disease | 
| Location | 1959 Ne Pacific St, Seattle, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972793537 | NPI | - | NPPES | 
| 0260642 | Other | WA | L&I | 
| 1972793537 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD6009581 (Washington) | Primary | 
| 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 | 
|---|---|
| Dr Eric Smith Ketchum, MD Po Box 1190, Tiburon, CA 94920-4190 Ph: (650) 799-6444 | Dr Eric Smith Ketchum, MD 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 543-0065 | 
| Sandhya Ramanathan Panch, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000 | |
| Stephen A Lopez, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 925 Seneca St, Seattle, WA 98101 Phone: 206-341-0860 | |
| Dr. Susan Hunt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Uwmc Department Of Medicine, Box 356429, Seattle, WA 98195 Phone: 206-221-7993 Fax: 206-221-8732 | |
| Timothy William Menza, MD, PHD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
| Dr. Vinay Gupta, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6980 Fax: 206-223-6982 | |
| Dr. Maria Ann Corcorran, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1550 N 115th St, Seattle, WA 98133 Phone: 206-520-5000 | |
| Vyshak Alva Venur, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5700 |