| Dr Michael Thomas Ingoglia, MD | |
|
11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | |
| (253) 985-6403 | |
| (253) 985-2948 |
| Full Name | Dr Michael Thomas Ingoglia |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 19 Years |
| Location | 11315 Bridgeport Way Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003071341 | NPI | - | NPPES |
| 03382661 | Medicaid | NY | |
| J400056247 | Other | NY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD61682981 (Washington) | Primary |
| 207L00000X | Anesthesiology | 262870 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Hospital | Troy, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph's Physician Health Pc | 9436041431 | 106 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
| Entity Name | North American Partners In Anesthesia Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Thomas Ingoglia, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 985-6403 | Dr Michael Thomas Ingoglia, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 985-6403 |
Joann Alexanian, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11315 Bridgeport Way Sw, St Clare Hospital, Lakewood, WA 98499 Phone: 253-581-6403 Fax: 253-584-6544 | |
Dr. Carlo Claudio Manetti, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 13 Ponce De Leon Ter Sw, Lakewood, WA 98499 Phone: 253-584-1826 | |
Robert Mason, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-984-6403 Fax: 253-985-2948 | |
Dr. Todd Donato, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-985-6403 Fax: 253-985-2948 | |
Dr. Adam Richard Olsson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499 Phone: 253-985-2949 Fax: 253-274-7994 | |
Kyong Ho Kim, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499 Phone: 253-983-9390 Fax: 253-983-0066 |