| Marion Arthur Fossum, MD | |
|
1717 S Ritchey Rd, Medical Lake, WA 99022-8792 | |
| (509) 590-8766 | |
| Not Available |
| Full Name | Marion Arthur Fossum |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1717 S Ritchey Rd, Medical Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356875736 | NPI | - | NPPES |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891809679 PECOS PAC ID: 8325942253 Enrollment ID: O20040107000022 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
| Entity Name | Ssm Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649217837 PECOS PAC ID: 8921917352 Enrollment ID: O20070213000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Arthur Fossum, MD 1717 S Ritchey Rd, Medical Lake, WA 99022-8792 Ph: (509) 590-8766 | Marion Arthur Fossum, MD 1717 S Ritchey Rd, Medical Lake, WA 99022-8792 Ph: (509) 590-8766 |
Laura J. Baehner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Samaya Cassandra Lovegood, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Averly H Nelson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Evangeline V Dacanay, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Dr. Muneeb Malik, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 W Maple St, Medical Lake, WA 99022 Phone: 509-565-4000 | |
Dr. Lesley M. Blake, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 |