| Dr Randal D Bensen, MD | |
|
2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | |
| (425) 394-0610 | |
| (425) 394-0809 |
| Full Name | Dr Randal D Bensen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2005 Nw Sammamish Rd, Issaquah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033141585 | NPI | - | NPPES |
| 8117855 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00025068 (Washington) | Primary |
| Entity Name | Eastside Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689683229 PECOS PAC ID: 5193725372 Enrollment ID: O20070111000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randal D Bensen, MD Po Box 661539, Arcadia, CA 91066-1539 Ph: (626) 447-0296 | Dr Randal D Bensen, MD 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 Ph: (425) 394-0610 |
Lauren Lin Hart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 Ne Blakely Dr, Issaquah, WA 98029 Phone: 425-313-4000 | |
Dr. Morgan M Wise, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 Ne Blakely Dr, Issaquah, WA 98029 Phone: 425-313-4000 | |
Tommy L Love, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Maple St, Ste 100, Issaquah, WA 98027 Phone: 425-313-4800 Fax: 425-391-1689 | |
Dr. Richard John Plunkett, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2005 Nw Sammamish Rd, Issaquah, WA 98027 Phone: 425-394-0610 Fax: 425-394-0809 | |
Brenna Born, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2005 Nw Sammamish Rd, Issaquah, WA 98027 Phone: 425-394-0610 Fax: 425-394-0809 | |
Dr. Thomas Boyer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2005 Nw Sammamish Rd, Bldg B100, Issaquah, WA 98027 Phone: 425-394-0610 Fax: 425-394-0611 |