| Dr Nobuyoshi Kageyama, M D | |
|
1412 Sw 43rd St, Suite 205, Renton, WA 98057-4803 | |
| (425) 264-0660 | |
| (425) 264-0601 |
| Full Name | Dr Nobuyoshi Kageyama |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 1412 Sw 43rd St, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679561427 | NPI | - | NPPES |
| 8457582 | Medicaid | WA | |
| P00341277 | Other | WA | RAILROAD MC # |
| 0715KA | Other | WA | BLUE SHIELD # |
| US7949137 | Other | WA | ATENA SPECIALIST PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | L4999 (Texas) | Primary |
| Entity Name | North Pacific Dermatology Ps |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1881845907 PECOS PAC ID: 2264448059 Enrollment ID: O20081031000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nobuyoshi Kageyama, M D 1200 112th Ave Ne Ste C187, Bellevue, WA 98004-3749 Ph: (425) 457-7900 | Dr Nobuyoshi Kageyama, M D 1412 Sw 43rd St, Suite 205, Renton, WA 98057-4803 Ph: (425) 264-0660 |
Young Mike Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 910 N 10th Pl, Renton, WA 98057 Phone: 206-386-9540 Fax: 425-391-5751 | |
Laura Walsh, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 600 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Kevin Man Hin Luk, Dermatology Medicare: Medicare Enrolled Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Cynthia Ackerman Knutson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Llewellyn Phillips Ii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4509 Talbot Rd S, Suite 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283 | |
Mrs. Nicole Prevo Kageyama, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1412 Sw 43rd St Ste 205, Renton, WA 98057 Phone: 425-264-0660 Fax: 425-264-0601 | |
Dr. Craig K Fujisaki, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4509 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283 |