| Dr Susan L Fraser, MD | |
|
1624 S I St, Suite 305, Tacoma, WA 98405-5016 | |
| (253) 428-8700 | |
| (253) 383-3376 |
| Full Name | Dr Susan L Fraser |
|---|---|
| Gender | Female |
| Speciality | Infectious Disease |
| Experience | 39 Years |
| Location | 1624 S I St, Tacoma, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932187663 | NPI | - | NPPES |
| 2049768 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 28553 (Colorado) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | MD60539033 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Peter Hospital | Olympia, WA | Hospital |
| St Joseph Medical Center | Tacoma, WA | Hospital |
| St Francis Community Hospital | Federal way, WA | Hospital |
| St Anthony Hospital | Gig harbor, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Medical Group | 0547173866 | 1259 |
| Providence Health And Services Washington | 6709782600 | 428 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan L Fraser, MD 1624 S I St, Suite 402, Tacoma, WA 98405-5016 Ph: (253) 627-4123 | Dr Susan L Fraser, MD 1624 S I St, Suite 305, Tacoma, WA 98405-5016 Ph: (253) 428-8700 |
Jennifer Lee Martin, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 | |
Christen E Eidal, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 | |
Ms. Jessica Wai-ying Tam, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Bryan Wilson, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 612-916-8558 | |
Ayesha Jameel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1708 Yakima Ave Ste 205, Tacoma, WA 98405 Phone: 253-565-6777 Fax: 253-566-8777 | |
Dr. Richard Lyle Urbon Jr., M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 9040a Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0166 | |
Roger Jay Stegman, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 9040 Reid St, Attn Mchj Qcr Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 |