| Ifesinachi S Oguakwa, MD | |
|
450 So Kitsap Blvd, Suite 100, Port Orchard, WA 98366 | |
| (360) 744-6275 | |
| (360) 744-6270 |
| Full Name | Ifesinachi S Oguakwa |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 450 So Kitsap Blvd, Port Orchard, 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 |
|---|---|---|---|
| 1063501534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R-7799 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | MD60138693 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Northwest Medical Services Pllc | 7911174453 | 3 |
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1374 |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Pacific Northwest Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902188196 PECOS PAC ID: 7911174453 Enrollment ID: O20120124000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Ifesinachi S Oguakwa, MD 2520 Cherry Ave, Bremerton, WA 98310-4229 Ph: (360) 744-6275 | Ifesinachi S Oguakwa, MD 450 So Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Ph: (360) 744-6275 |
Melissa Ayn Meyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4680 Fax: 360-895-4709 | |
Daniel Eldredge Diamond, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 | |
Christine Agbayani Lomotan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 | |
Robert R Rankin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188 | |
Emily Assavapisitkul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 Fax: 877-516-9023 | |
Richard J. Tanaka, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 |