| Dr Samuel Moulton, MD | |
|
510 8th Ave Ne Ste 200, Issaquah, WA 98029-5436 | |
| (425) 392-3030 | |
| (425) 392-2564 |
| Full Name | Dr Samuel Moulton |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 510 8th Ave Ne Ste 200, 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 |
|---|---|---|---|
| 1043744527 | NPI | - | NPPES |
| 2082179 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD61435678 (Washington) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD61435678 (Washington) | Primary |
| Entity Name | Proliance Surgeons Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Moulton, MD 510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436 Ph: (425) 392-3030 | Dr Samuel Moulton, MD 510 8th Ave Ne Ste 200, Issaquah, WA 98029-5436 Ph: (425) 392-3030 |
Dr. Christopher John Wahl, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564 | |
Dr. Ryan James Nathe, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564 | |
Dr. Tyler J Nathe, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564 | |
Alexander H. Arzeno, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564 | |
Dr. Michael J Sailer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564 |