| Dr Randall Malcolm Patten, MD | |
|
1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | |
| (253) 761-4200 | |
| (253) 761-4201 |
| Full Name | Dr Randall Malcolm Patten |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1304 Fawcett Ave Ste 100, 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 |
|---|---|---|---|
| 1720001498 | NPI | - | NPPES |
| 0252323 | Other | WA | LNI-UNION AVENUE OPEN MRI |
| 1017229 | Medicaid | WA | |
| 0401121 | Other | WA | LNI-DIAGNOSTIC IMAGING NW |
| 0401119 | Other | WA | LNI-TRA MEDICAL IMAGING-KING |
| 0249080 | Other | WA | LNI-TRA MEDICAL IMAGING-PIERCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD00022735 (Washington) | Primary |
| Entity Name | Tra-minw P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
| Entity Name | Union Avenue Open Mri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
| Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20170221002249 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200917000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Malcolm Patten, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Dr Randall Malcolm Patten, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 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 |