| Dr Susan Oldenkamp, MD | |
|
12811 8th Ave W, Suite D-109, Everett, WA 98204-6335 | |
| (425) 743-7888 | |
| (425) 355-3055 |
| Full Name | Dr Susan Oldenkamp |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 48 Years |
| Location | 12811 8th Ave W, Everett, 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 |
|---|---|---|---|
| 1275669459 | NPI | - | NPPES |
| 91-1504734 | Other | WA | TAX ID |
| 1011832 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD00023394 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Dermatology Co | 1658546437 | 3 |
| Spokane Dermatology Clinic Ps | 9931098357 | 4 |
| Entity Name | Kittitas County Public Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
| Entity Name | Spokane Dermatology Clinic Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649367889 PECOS PAC ID: 9931098357 Enrollment ID: O20040313000200 |
| Entity Name | Family Dermatology Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275816910 PECOS PAC ID: 1658546437 Enrollment ID: O20111206000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Oldenkamp, MD 12811 8th Ave W, Suite D-109, Everett, WA 98204-6335 Ph: (425) 743-7888 | Dr Susan Oldenkamp, MD 12811 8th Ave W, Suite D-109, Everett, WA 98204-6335 Ph: (425) 743-7888 |
Dr. Mark Conrad Valentine, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3327 Colby Ave, Everett, WA 98201 Phone: 425-258-6767 Fax: 425-259-6260 | |
Jane M Nosal, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Calvin Horace Knapp Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-339-5417 Fax: 425-339-5429 | |
Dr. Zarry Tavakkol, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-339-5417 Fax: 425-339-5429 | |
Dr. Teerawit Supakorndej, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-339-5417 Fax: 425-339-5429 | |
Hana Kathryn Stelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-339-5417 Fax: 425-339-5429 |