| Dr Richard Louis Faiola, MD | |
|
4001 Harrison Ave Nw, Ste 101, Olympia, WA 98502-5084 | |
| (360) 704-2362 | |
| (360) 350-1445 |
| Full Name | Dr Richard Louis Faiola |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4001 Harrison Ave Nw, Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689626392 | NPI | - | NPPES |
| 6622FA | Other | WA | RIDER |
| 8576483 | Medicaid | WA | |
| 0203077 | Other | WA | LABOR AND INDUSTRY WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | XXXXXXXXXX (Washington) | Primary |
| Entity Name | Heritage Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427136977 PECOS PAC ID: 8628084712 Enrollment ID: O20060227000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Louis Faiola, MD 4001 Harrison Ave Nw, Ste 101, Olympia, WA 98502-5084 Ph: (360) 704-2362 | Dr Richard Louis Faiola, MD 4001 Harrison Ave Nw, Ste 101, Olympia, WA 98502-5084 Ph: (360) 704-2362 |
Amihan A Ferrer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Michael W Balfe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Terry Rice, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Gordon Wheat, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Mr. Aaron J. Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 Cooper Point Rd Sw, Olympia, WA 98502 Phone: 360-486-6710 Fax: 360-705-0269 | |
Bahram Badri, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Kelvie A Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-493-7230 Fax: 360-493-4180 |