| Mikal John Nelson, MD | |
|
1 Boone Rd, Bremerton, WA 98312-1894 | |
| (360) 475-4214 | |
| Not Available |
| Full Name | Mikal John Nelson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 15 Years |
| Location | 1 Boone Rd, Bremerton, 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 |
|---|---|---|---|
| 1316267537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 54536 (Minnesota) | Secondary |
| 207Y00000X | Otolaryngology | 61336572 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 1815 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikal John Nelson, MD 1 Boone Rd, Bremerton, WA 98312-1894 Ph: (360) 475-4214 | Mikal John Nelson, MD 1 Boone Rd, Bremerton, WA 98312-1894 Ph: (360) 475-4214 |
Dr. Michael Maddox, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, One Boone Road, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344 | |
Dr. Craig Lee Cupp, MD, ED.D Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Attn: Medical Staff Services, Bremerton, WA 98312 Phone: 360-475-4214 | |
Kristina Elise Hart, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344 | |
Dr. John Charles Nicholson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Naval Hospital, Bremerton, WA 98312 Phone: 360-475-4426 |