| Dr Wayne Sy Fang, MD | |
|
19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | |
| (425) 563-1500 | |
| (425) 563-1501 |
| Full Name | Dr Wayne Sy Fang |
|---|---|
| Gender | Male |
| Speciality | Radiology - Neuroradiology |
| Location | 19020 33rd Ave W, Lynnwood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295810133 | NPI | - | NPPES |
| 0385162 | Other | WA | L&I-SOUTH SOUND RADIOLOGY |
| 0367299 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
| 0367300 | Other | WA | L&I-EVERGREEN RADIA |
| 0367297 | Other | WA | L&I-RADIA REST OF WA |
| 0367298 | Other | WA | L&I-RADIA KING COUNTY |
| 2000900 | Medicaid | WA |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Entity Name | Radia Imaging Center Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20190118000572 |
| Entity Name | Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366438186 PECOS PAC ID: 7517953912 Enrollment ID: O20200713001634 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wayne Sy Fang, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Dr Wayne Sy Fang, MD 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 |
Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Frederick Farzad Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Germaine Richard Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Judson E Threlkeld, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 |