| Katisha Denise Eng, MD | |
|
222 State Ave N, Kent, WA 98030-4544 | |
| (253) 372-7788 | |
| Not Available |
| Full Name | Katisha Denise Eng |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 222 State Ave N, Kent, 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 |
|---|---|---|---|
| 1740464742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD60511975 (Washington) | Primary |
| 207P00000X | Emergency Medicine | 0101245816 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Clare Hospital | Lakewood, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Emergency Physicians Llc | 3476462334 | 217 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Washington Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635 |
| Entity Name | Northwest Observation Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023539376 PECOS PAC ID: 9032480942 Enrollment ID: O20170810000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Katisha Denise Eng, MD 222 State Ave N, Kent, WA 98030-4544 Ph: (253) 372-7788 | Katisha Denise Eng, MD 222 State Ave N, Kent, WA 98030-4544 Ph: (253) 372-7788 |
Brian Fung, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12924 Se Kent Kangley Rd, Kent, WA 98030 Phone: 253-215-1097 | |
Peter Lightbody, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26004 104th Ave Se, Kent, WA 98030 Phone: 425-251-4040 | |
Dieter R. Eppel, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7788 |