| Dr Julietta Hona Chang, MD | |
|
11511 Ne 10th St, Bellevue, WA 98004-8578 | |
| (425) 502-3000 | |
| (425) 502-3589 |
| Full Name | Dr Julietta Hona Chang |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 11511 Ne 10th St, Bellevue, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518225630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 57.021392 (Ohio) | Secondary |
| 208600000X | Surgery | A158248 (California) | Secondary |
| 208600000X | Surgery | MD61254831 (Washington) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julietta Hona Chang, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000 | Dr Julietta Hona Chang, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000 |
David W Nelson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135-116th Avenue Ne, Suite 605, Bellevue, WA 98004 Phone: 425-454-8161 Fax: 425-454-6304 | |
April Phantana-angkool, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne Ste 200, Bellevue, WA 98004 Phone: 425-688-0212 Fax: 425-688-0213 | |
Eiji Minami, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1135 116th Ave Ne, Suite 550, Bellevue, WA 98004 Phone: 425-688-1916 Fax: 425-688-1901 | |
Sooyeon Kim, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1135 116th Ave Ne Ste 305, Bellevue, WA 98004 Phone: 425-453-1772 | |
Mrs. Eileen T. Consorti, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne Ste 200, Bellevue, WA 98004 Phone: 425-688-0212 | |
Dudley T Moorhead Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1135 116th Ave Ne Ste 220, Bellevue, WA 98004 Phone: 425-450-7007 Fax: 425-450-0026 | |
Dr. Mohamad Imad Haque, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589 |