| Mrs Nicole Prevo Kageyama, MD | |
|
1412 Sw 43rd St Ste 205, Renton, WA 98057-4803 | |
| (425) 264-0660 | |
| (425) 264-0601 |
| Full Name | Mrs Nicole Prevo Kageyama |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 27 Years |
| Location | 1412 Sw 43rd St Ste 205, Renton, Washington |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407858665 | NPI | - | NPPES |
| P00301940 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | MD00046078 (Washington) | Secondary |
| 207N00000X | Dermatology | MD00046078 (Washington) | Primary |
| Entity Name | North Pacific Dermatology Ps |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1881845907 PECOS PAC ID: 2264448059 Enrollment ID: O20081031000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Prevo Kageyama, MD 1200 112th Ave Ne, Suite C-187, Bellevue, WA 98007 Ph: (425) 457-7900 | Mrs Nicole Prevo Kageyama, MD 1412 Sw 43rd St Ste 205, Renton, WA 98057-4803 Ph: (425) 264-0660 |
Young Mike Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 910 N 10th Pl, Renton, WA 98057 Phone: 206-386-9540 Fax: 425-391-5751 | |
Laura Walsh, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Kevin Man Hin Luk, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Cynthia Ackerman Knutson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Llewellyn Phillips Ii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4509 Talbot Rd S, Suite 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283 | |
Dr. Craig K Fujisaki, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 4509 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283 |