| Dr Phillip C Lesh, MD | |
| 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | |
| (253) 761-4200 | |
| (253) 383-3553 | 
| Full Name | Dr Phillip C Lesh | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 1304 Fawcett Ave, Tacoma, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093888091 | NPI | - | NPPES | 
| 8944811 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-TRA | 
| 8945535 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI | 
| AB36527 | Other | WA | MEDICARE PIN TRA KING COUNTY | 
| LE4084 | Other | WA | REGENCE BLUE SHIELD TRA | 
| 119259 | Other | WA | LABOR AND INDUSTRIES/WC UNION AVENUE OPEN | 
| 40721 | Other | WA | LABOR AND INDUSTRIES/WC TRA | 
| 300023013 | Other | WA | RR MEDICARE TRA | 
| G8892476 | Other | WA | PTAN-DOCTORS CLINIC | 
| LE7252 | Other | WA | REGENCE BLUE SHIELD UNION AVENUE OPEN | 
| 0249526 | Other | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST | 
| 8125379 | Medicaid | WA | |
| 8951850 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST | 
| G8881780 | Other | WA | PTAN-MIO1 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085N0904X | Radiology - Nuclear Radiology | 00023770 (Washington) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | MD00023770 (Washington) | Primary | 
| 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 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Phillip C Lesh, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Dr Phillip C Lesh, MD 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 Ph: (253) 761-4200 | 
| Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
| Mark Ranier Dalisay,  Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
| Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
| Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
| Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
| Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
| Dr. Joseph Tsai, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-4994 Fax: 253-403-4991 |