| Fred Edward Pfenniger, MD | |
|
521 Martin Luther King Jr Way, Ms: 521-2-tfm, Tacoma, WA 98405-4238 | |
| (253) 403-2900 | |
| Not Available |
| Full Name | Fred Edward Pfenniger |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 521 Martin Luther King Jr Way, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366762478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01079968 (Indiana) | Primary |
| 207Q00000X | Family Medicine | MD 60211363 (Washington) | Secondary |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Community Hospital Of Lagrange County, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
| Entity Name | Parkview Wabash Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1245259878 PECOS PAC ID: 0244553360 Enrollment ID: O20141222002050 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Edward Pfenniger, MD 3702 New Vision Dr, Bldg B, Fort Wayne, IN 46845-1703 Ph: (253) 403-2900 | Fred Edward Pfenniger, MD 521 Martin Luther King Jr Way, Ms: 521-2-tfm, Tacoma, WA 98405-4238 Ph: (253) 403-2900 |
Dr. Justin Cha-cheng Ng, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-2050 | |
Robert F Wachtel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Dr. Nathan Kinneer Friedline, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98433 Phone: 850-885-2273 | |
Barbara Sherry Mezger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3400 Fax: 253-596-3301 | |
Dr. Peter Stull, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1250 Fax: 253-968-2550 | |
Kevin E Callahan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Nicholas Hayden Aldredge, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 315 Mlk Jr Way, Tacoma, WA 98405 Phone: 253-403-8327 |