| Dr Gary Wayne Nickel, MD | |
|
222 N J St, Suite A, Tacoma, WA 98403-1984 | |
| (253) 572-4664 | |
| (253) 591-0097 |
| Full Name | Dr Gary Wayne Nickel |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 222 N J St, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568570257 | NPI | - | NPPES |
| MD00016939 | Other | WA | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD00016939 (Washington) | Primary |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Obhg Washington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087 |
| Entity Name | Kitsap Obgyn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366835399 PECOS PAC ID: 4082925748 Enrollment ID: O20150622001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Wayne Nickel, MD 222 N J St, Suite A, Tacoma, WA 98403-1984 Ph: (253) 572-4664 | Dr Gary Wayne Nickel, MD 222 N J St, Suite A, Tacoma, WA 98403-1984 Ph: (253) 572-4664 |
Dr. Melodie M Icasiano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431 Phone: 253-968-1740 | |
Wesley Boyd Davis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1717 S J St # Wa, Tacoma, WA 98405 Phone: 253-625-1104 | |
Kalli Plummer, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 253-274-7991 | |
Dr. Angela Lorraine Gray, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 206-246-0468 | |
James Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-4747 | |
Amanda Carpenter Cousins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 Phone: 301-295-4000 | |
Ladonna Rae Jones, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-9860 |