Mr Mana Dissadee, MD | |
1415 E Kincaid St, Mount Vernon, WA 98274-4126 | |
(360) 428-2600 | |
(360) 814-8390 |
Full Name | Mr Mana Dissadee |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 1415 E Kincaid St, Mount Vernon, 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 |
---|---|---|---|
1720390206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | M-2041 (Guam) | Secondary |
207RN0300X | Internal Medicine - Nephrology | MD61395772 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Skagit Valley Hospital | Mount vernon, WA | Hospital |
Island Hospital | Anacortes, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacific Med And Nephrology | 1951296490 | 13 |
Public Hospital Dist No 1 Skagit | 6800793522 | 248 |
Entity Name | Pacific Med & Nephrology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033391313 PECOS PAC ID: 1951296490 Enrollment ID: O20040216000458 |
Entity Name | Guam Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
Entity Name | Guam Healthcare Development Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
Mailing Address | Practice Location Address |
---|---|
Mr Mana Dissadee, MD 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: () - | Mr Mana Dissadee, MD 1415 E Kincaid St, Mount Vernon, WA 98274-4126 Ph: (360) 428-2600 |
Connie L. Davis, Nephrology Medicare: Medicare Enrolled Practice Location: 208 Hospital Parkway, Mount Vernon, WA 98274 Phone: 360-428-8260 Fax: 360-428-8576 | |
Ramy Lewez Hanna, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237 | |
Dr. Samuel M. Donohoe, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 | |
Sankar S Alagugurusamy, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-6113 Fax: 360-814-6110 | |
Dr. Junfeng Wang, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 307 S 13th St Ste 100, Mount Vernon, WA 98274 Phone: 360-814-2146 Fax: 360-814-2445 | |
David F. Hoeft, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 | |
Soumya Parimi, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2550 Fax: 360-428-6402 |