| Mitchell William Hustad, MD | |
|
1801 Nw Market St Ste 207, Seattle, WA 98107-3909 | |
| (206) 320-7288 | |
| (206) 320-7289 |
| Full Name | Mitchell William Hustad |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Addiction Medicine |
| Location | 1801 Nw Market St Ste 207, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316407034 | NPI | - | NPPES |
| 2165846 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD61190294 (Washington) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | MD61190294 (Washington) | Primary |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell William Hustad, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476 | Mitchell William Hustad, MD 1801 Nw Market St Ste 207, Seattle, WA 98107-3909 Ph: (206) 320-7288 |
Claire M Barnett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 E Madison St, Seattle, WA 98122 Phone: 206-328-7722 Fax: 206-720-4657 | |
Dr. Gregory Parada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Nw Market St Ste 207, Seattle, WA 98107 Phone: 206-781-6048 Fax: 206-860-6725 | |
Michael S Grabinski, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 7th Ave, 8th Floor, Seattle, WA 98104 Phone: 206-860-4424 Fax: 206-720-7424 | |
Xin Jie Luo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4755 Fauntleroy Way Sw, Seattle, WA 98116 Phone: 206-201-0551 Fax: 206-201-0552 | |
Brooke Elizabeth Parker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11011 Meridian Ave N Ste 201, Seattle, WA 98133 Phone: 206-520-5000 | |
Eunice Mbela Nachinga, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 125 16th Ave E # Csb545, Seattle, WA 98112 Phone: 206-326-3769 | |
Dr. Shayna Rose Waldbaum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Sw Alaska St Ste B, Seattle, WA 98116 Phone: 206-320-3399 |