Jonathan W Fish, MD | |
1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284-9315 | |
(360) 856-4141 | |
(360) 856-4145 |
Full Name | Jonathan W Fish |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1990 Hospital Drive, Sedro-wooley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629039599 | NPI | - | NPPES |
8275984 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00039820 (Washington) | Primary |
Entity Name | South Sound Inpatient Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
Entity Name | Cogent Healthcare Of Washington, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839 |
Entity Name | Kittitas County Public Hospital Dist 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
Entity Name | Peacehealth Medical Group - Sedro Woolley |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407283179 PECOS PAC ID: 1456584036 Enrollment ID: O20140506001293 |
Mailing Address | Practice Location Address |
---|---|
Jonathan W Fish, MD 1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284-9315 Ph: (360) 856-4141 | Jonathan W Fish, MD 1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284-9315 Ph: (360) 856-4141 |
Herbert Edwin Stickle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284 Phone: 360-856-4141 Fax: 360-856-4145 |