| Mr Evgeny A Bistrika, DO | |
|
939 Caroline St, Port Angeles, WA 98362-3997 | |
| (360) 417-7000 | |
| (360) 417-7318 |
| Full Name | Mr Evgeny A Bistrika |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 8 Years |
| Location | 939 Caroline St, Port Angeles, 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 |
|---|---|---|---|
| 1275913139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OP61006615 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Capital Medical Center | Olympia, WA | Hospital |
| Summit Pacific Medical Center-swing Bed Unit | Elma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 91 |
| Entity Name | Capital Medical Center Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Evgeny A Bistrika, DO Po Box 850, Port Angeles, WA 98362-0146 Ph: (360) 417-7000 | Mr Evgeny A Bistrika, DO 939 Caroline St, Port Angeles, WA 98362-3997 Ph: (360) 417-7000 |
Jonathan Scott Melgar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 Fax: 360-417-7318 | |
Zina Hajduczok, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Dr. Aleksey Tagintsev, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 | |
Dr. David B Bayne, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-0901 | |
Paul E Pederson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 Fax: 360-417-7318 | |
Dr. Amir Kazerouninia, M.D. PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-0901 |