| Gregory Michael Wolgamot, MD, PHD | |
|
3614 Meridian St, Suite 100, Bellingham, WA 98225-1748 | |
| (360) 734-2800 | |
| (360) 734-3818 |
| Full Name | Gregory Michael Wolgamot |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 19 Years |
| Location | 3614 Meridian St, Bellingham, Washington |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801849369 | NPI | - | NPPES |
| MD00043141 | Other | WA | MEDICAL LICENSE |
| MD5170W | Medicaid | AK | |
| MEDS5895 | Other | AK | MEDICAL LICENSE |
| 3866WO | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | XXXXXXXX (Michigan) | Primary |
| 207ZD0900X | Pathology - Dermatopathology | XXXXXXXX (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Healthcare | Port townsend, WA | Hospital |
| St Joseph Hospital | Bellingham, WA | Hospital |
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Whidbeyhealth Medical Center | Coupeville, WA | Hospital |
| Peacehealth Ketchikan Medical Center | Ketchikan, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Pathology Pllc | 4587553318 | 7 |
| Entity Name | Northwest Pathology Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184132292 PECOS PAC ID: 4587553318 Enrollment ID: O20180215002491 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Michael Wolgamot, MD, PHD 3560 Meridian St Ste 101, Bellingham, WA 98225-1731 Ph: (360) 734-2800 | Gregory Michael Wolgamot, MD, PHD 3614 Meridian St, Suite 100, Bellingham, WA 98225-1748 Ph: (360) 734-2800 |
Scott Michael Chatterley, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. Raymond Mark Owings, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Valerie Catherine Mcwhorter, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3614 Meridian St., Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. John Wesley Hoyt, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. Christopher Clay Danenhower, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. Frank Ephraim Thomas, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 929 11th St, #302, Bellingham, WA 98225 Phone: 360-734-1822 | |
Kelly Ann Lloyd, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 |