| Dr Susanne Carmack, MD | |
|
406 Black Hills Ln Sw Ste A, Olympia, WA 98502-8144 | |
| (360) 704-3400 | |
| (360) 754-1783 |
| Full Name | Dr Susanne Carmack |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 22 Years |
| Location | 406 Black Hills Ln Sw Ste A, Olympia, 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 |
|---|---|---|---|
| 1811174824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M9908 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Medical Center | Spokane, WA | Hospital |
| Multicare Valley Hospital | Spokane, WA | Hospital |
| Swedish Issaquah | Issaquah, WA | Hospital |
| Swedish Medical Center | Seattle, WA | Hospital |
| Three Rivers Hospital | Brewster, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 1815 |
| Cellnetix Pathology Pllc | 8224062971 | 61 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Cellnetix Pathology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356310866 PECOS PAC ID: 8224062971 Enrollment ID: O20050921001093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susanne Carmack, MD 406 Black Hills Ln Sw Ste A, Olympia, WA 98502-8144 Ph: (360) 704-3400 | Dr Susanne Carmack, MD 406 Black Hills Ln Sw Ste A, Olympia, WA 98502-8144 Ph: (360) 704-3400 |
Jay Michael Odell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3900 Capital Mall Drive Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-956-2574 | |
Richard Osborn Whitten, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 | |
Frank J Brown, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8250 Fax: 360-413-8830 | |
Charles A Richert, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 | |
Terrence Anthony Schulte, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 | |
Dennis F Peck, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Road Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361 |