| Sam Yeol Chun, MD | |
|
533 S 336th St, Suite C, Federal Way, WA 98003-6329 | |
| (253) 661-4755 | |
| (253) 661-4565 |
| Full Name | Sam Yeol Chun |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 533 S 336th St, Federal Way, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396720611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MC00045011 (Washington) | Primary |
| Entity Name | Vantage Radiology & Diagnostic Services, A Professional Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245230598 PECOS PAC ID: 8224937917 Enrollment ID: O20031231000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Yeol Chun, MD 533 S 336th St, Suite C, Federal Way, WA 98003-6329 Ph: (253) 661-4755 | Sam Yeol Chun, MD 533 S 336th St, Suite C, Federal Way, WA 98003-6329 Ph: (253) 661-4755 |
Ronald F Nicol, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 533 S 336th St, Ste C, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
Robert O Nathan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 181 S 333rd St, Suite 210, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
James D Pister, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1911 Sw Campus Dr., #107, Federal Way, WA 98023 Phone: 253-839-0170 | |
Pyong C Kim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S 336th St, Ste C, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
Michael R Nelsen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S 336th St, Suite C, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
Dr. Samuel Chu Chi Chao, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S. 336th Street, Federal Way, WA 98003 Phone: 253-661-1700 | |
Dr. Jason K Mann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S 336th St, Ste C, Federal Way, WA 98003 Phone: 253-661-1700 |