| Laurel S Mast, MD | |
|
939 Caroline St, Port Angeles, WA 98362-3909 | |
| (360) 417-7000 | |
| Not Available |
| Full Name | Laurel S Mast |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 939 Caroline St, Port Angeles, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588195135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD61553629 (Washington) | Primary |
| 208800000X | Urology | 11924134-1205 (Utah) | Secondary |
| Entity Name | Olympic Medical Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel S Mast, MD Po Box 850, Port Angeles, WA 98362-0146 Ph: () - | Laurel S Mast, MD 939 Caroline St, Port Angeles, WA 98362-3909 Ph: (360) 417-7000 |
Byron Dale Russell, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Dr. Rex Thomas Averill, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Carleen T Bensen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Erin Elizabeth Ellison, MD Urology Medicare: Medicare Enrolled Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Timothy Hewitt, MD Urology Medicare: Medicare Enrolled Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 |