| Justin William Suszko, MD | |
|
4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 | |
| (360) 412-8960 | |
| (360) 412-8970 |
| Full Name | Justin William Suszko |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 16 Years |
| Location | 4525 3rd Ave Se Ste 100, Lacey, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184866527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD60811152 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiantcare Physicians Pllc | 6608869581 | 4 |
| Entity Name | Radiantcare Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851378160 PECOS PAC ID: 6608869581 Enrollment ID: O20040406001285 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin William Suszko, MD 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 Ph: (360) 412-8960 | Justin William Suszko, MD 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 Ph: (360) 412-8960 |
Michael Connor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se # 100, Lacey, WA 98503 Phone: 360-412-8960 | |
Joseph Robert Hartman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
Haleigh Ann Werner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
Gregory W Allen, M.D., PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
James F Raymond, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 |