| Randall Matthew Chesnut, | |
|
Harborview Medical Center, Pbs Building, 401 Broadway, #2075, Seattle, WA 98122 | |
| (206) 744-9340 | |
| Not Available |
| Full Name | Randall Matthew Chesnut |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | Harborview Medical Center, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669515136 | NPI | - | NPPES |
| 0230864 | Other | WA | L&I |
| 1669515136 | Medicaid | WA | |
| 2031370 | Other | INTERNAL ID-MOTOR VEHICLE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | MD00043532 (Washington) | Primary |
| Entity Name | The Association Of University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Matthew Chesnut, Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420 | Randall Matthew Chesnut, Harborview Medical Center, Pbs Building, 401 Broadway, #2075, Seattle, WA 98122 Ph: (206) 744-9340 |
George A Ojemann, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: University Of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-598-5637 | |
Mr. Trent Lane Tredway, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 737 Olive Way Apt 2502, Seattle, WA 98101 Phone: 206-623-1334 Fax: 206-623-1677 | |
Daniel A Lazar, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1560 N 115th St, 209, Seattle, WA 98133 Phone: 206-368-1701 Fax: 206-363-0019 | |
Mohammed Basamh, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 550 17th Ave Ste 500, Seattle, WA 98122 Phone: 206-320-2451 | |
Kevin Nhat Vanent, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-8513 | |
Dr. Christoph Paul Hofstetter, M.D., PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Campus Box 356470, Room Rr734, Seattle, WA 98195 Phone: 507-202-9523 | |
Meredith Claire Costello, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-9316 |