| Dustin Duy Nguyen, DO | |
|
4381 Nw Water Lily Pl, Camas, WA 98607-8843 | |
| (817) 881-2765 | |
| Not Available |
| Full Name | Dustin Duy Nguyen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 16 Years |
| Location | 4381 Nw Water Lily Pl, Camas, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346474582 | NPI | - | NPPES |
| BP10034738 | Other | TEXAS MEDICAL BOARD POSTGRADUATE TRAINING PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | Q4820 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Providence Holy Cross Medical Center | Mission hills, CA | Hospital |
| Evergreenhealth Medical Center | Kirkland, WA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evergreen Radia Llc | 4587568076 | 101 |
| Radia California Radiology Medical Group Inc | 8921465998 | 115 |
| Radia Inc P S | 9931012812 | 263 |
| County Of Santa Clara | 1254244973 | 824 |
| Sky Lakes Medical Center Inc | 1052204096 | 170 |
| Entity Name | Radia Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
| Entity Name | Evergreen Radia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20031125000896 |
| Entity Name | Medford Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20211201002559 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20231108002477 |
| Entity Name | Radia Oregon Radiology Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073385423 PECOS PAC ID: 2961852637 Enrollment ID: O20240416001942 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Duy Nguyen, DO 816 W Cannon St, Fort Worth, TX 76104-3146 Ph: (817) 321-0937 | Dustin Duy Nguyen, DO 4381 Nw Water Lily Pl, Camas, WA 98607-8843 Ph: (817) 881-2765 |