| Dr Melodie M Icasiano, MD | |
|
Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431-0001 | |
| (253) 968-1740 | |
| Not Available |
| Full Name | Dr Melodie M Icasiano |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 26 Years |
| Location | Madigan Army Medical Center, 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 |
|---|---|---|---|
| 1003882978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD00042886 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paoli Hospital | Paoli, PA | Hospital |
| Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
| Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
| Riddle Memorial Hospital | Media, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Womens Health Group Llc | 2961316328 | 323 |
| Entity Name | Regional Womens Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750880118 PECOS PAC ID: 2961316328 Enrollment ID: O20180611002120 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melodie M Icasiano, MD 100 Lancaster Ave, Mob East Suite 158, Wynnewood, PA 19096-3427 Ph: (610) 649-2126 | Dr Melodie M Icasiano, MD Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431-0001 Ph: (253) 968-1740 |
Wesley Boyd Davis, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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: Medicare Enrolled 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 |