| Dr Martha Ksepka, MD | |
|
1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | |
| (253) 761-4200 | |
| (253) 761-4201 |
| Full Name | Dr Martha Ksepka |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 1304 Fawcett Ave Ste 100, Tacoma, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467727537 | NPI | - | NPPES |
| 0393577 | Other | WA | LNI-UAOM |
| 0393502 | Other | WA | LNI-TRA REST OF WA |
| 2103308 | Medicaid | WA | |
| 0393575 | Other | WA | LNI-TRA KING COUNTY |
| 0393578 | Other | WA | LNI-DINW |
| 0393581 | Other | WA | LNI-CMBC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD60855833 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD471052 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Lehigh Valley Hospital - Pocono | East stroudsburg, PA | Hospital |
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Imaging Of Lehigh Valley Pc | 1557265212 | 125 |
| Entity Name | Medical Imaging Of Lehigh Valley Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178023 PECOS PAC ID: 1557265212 Enrollment ID: O20040329001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martha Ksepka, MD C/o Bwr Innovations 3471 S. University Drive, Fargo, ND 58104 Ph: (701) 552-5271 | Dr Martha Ksepka, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Ph: (253) 761-4200 |
Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Dr. Joseph Tsai, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-4994 Fax: 253-403-4991 |