| Holly A Dickson, MD | |
|
853 Watson St N Ste 200, Enumclaw, WA 98022-3948 | |
| (360) 367-2970 | |
| (360) 998-3241 |
| Full Name | Holly A Dickson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 853 Watson St N Ste 200, Enumclaw, Washington |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235145715 | NPI | - | NPPES |
| 8286965 | Medicaid | WA | |
| 8935272 | Other | WA | CRIME VICTIMS |
| 154155 | Other | WA | L & I |
| 160056450 | Other | WA | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD00040581 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Womens Wellness Pllc | 2769755891 | 4 |
| Entity Name | Womens Wellness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801316179 PECOS PAC ID: 2769755891 Enrollment ID: O20170912000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly A Dickson, MD 853 Watson St N Ste 200, Enumclaw, WA 98022-3948 Ph: (360) 367-2970 | Holly A Dickson, MD 853 Watson St N Ste 200, Enumclaw, WA 98022-3948 Ph: (360) 367-2970 |
David R Bhaskar, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5760 Fax: 253-426-6344 | |
James Travis Majors, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5760 | |
Robert C Gramann, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5760 Fax: 360-802-5799 | |
Dr. Hannah Elisa Valdes-chenoweth, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5760 Fax: 360-802-5799 | |
Dr. Gouhar Yusuof Khan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5760 Fax: 360-802-5799 |