| Mr Edward G Prevatt, MD | |
|
1400 E Kincaid St, Mount Vernon, WA 98274-4127 | |
| (360) 428-2586 | |
| (360) 428-6470 |
| Full Name | Mr Edward G Prevatt |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1400 E Kincaid St, Mount Vernon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184019325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | MD61223363 (Washington) | Secondary |
| 208600000X | Surgery | MD61223363 (Washington) | Primary |
| Entity Name | Kadlec Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
| 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 | Public Hospital Dist No 1 Skagit |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward G Prevatt, MD 648 Newton Pl Nw, Apt 2, Washington, DC 20010-1737 Ph: (240) 533-1805 | Mr Edward G Prevatt, MD 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: (360) 428-2586 |
Patricia A Franklin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 | |
Allison J. Porter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E. Kincade Street, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Mark L. Johnson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 E. Kincaid St., Skagit Regional Clinics, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Dr. Steven S Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 E. Kincaid St., Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Jivatesh Singh Tung, MD Surgery Medicare: Medicare Enrolled Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470 | |
Dr. Karen S Woo, D.O., FACOS, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2586 |