| Smita Jain, MD | |
|
19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | |
| (425) 563-1500 | |
| (425) 563-1374 |
| Full Name | Smita Jain |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 19020 33rd Ave W, Lynnwood, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467489229 | NPI | - | NPPES |
| 334243 | Other | WA | LNI PROVIDER ID |
| 8317497 | Medicaid | WA | |
| 334238 | Other | WA | LNI PROVIDER ID |
| 334242 | Other | WA | LNI PROVIDER ID |
| 1011101 | Medicaid | WA | |
| 334244 | Other | WA | LNI PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD00040833 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union General Hospital | Blairsville, GA | Hospital |
| Hca Houston Healthcare Conroe | Conroe, TX | Hospital |
| Kingwood Medical Center | Kingwood, TX | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| Columbus Mammography Center Inc | 1355401332 | 7 |
| Singleton Associates Pa | 6305731118 | 635 |
| Columbus Mammography Center Inc | 1355401332 | 7 |
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20200826001567 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20210811002283 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20211018001934 |
| Entity Name | Columbus Mammography Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932240801 PECOS PAC ID: 1355401332 Enrollment ID: O20230720003724 |
| Entity Name | Rose Imaging Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164478186 PECOS PAC ID: 7517853351 Enrollment ID: O20241203001505 |
| Mailing Address | Practice Location Address |
|---|---|
| Smita Jain, MD 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 Ph: (425) 563-1500 | Smita Jain, MD 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 Ph: (425) 563-1500 |
Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Frederick Farzad Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Germaine Richard Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Judson E Threlkeld, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 |