| Joy R Fackenthall, MD | |
|
7205 265th St Nw, Stanwood, WA 98292-6221 | |
| (360) 629-1504 | |
| Not Available |
| Full Name | Joy R Fackenthall |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 7205 265th St Nw, Stanwood, 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 |
|---|---|---|---|
| 1376626556 | NPI | - | NPPES |
| 1008993 | Medicaid | WA | |
| 37986 | Other | WA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37986 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Care Washington Pllc | 6406752153 | 597 |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Joy R Fackenthall, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Joy R Fackenthall, MD 7205 265th St Nw, Stanwood, WA 98292-6221 Ph: (360) 629-1504 |
Dr. Jennifer D Lawrence, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9631 269th St Nw, Stanwood, WA 98292 Phone: 360-629-1600 Fax: 360-629-1644 | |
Dr. Grant E Taylor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1500 | |
Ana Cecilia Hernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1500 | |
Dr. Mark Litton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9631 269th St Nw, Stanwood, WA 98292 Phone: 360-629-1600 Fax: 360-629-1644 | |
Kevin R Clay, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1504 | |
Carol L Hoeksema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9631 269th St Nw, Stanwood, WA 98292 Phone: 360-629-1600 Fax: 360-428-6485 |