| Terry Spark Corwin, MD | |
|
4310 Colby Ave, Suite 203, Everett, WA 98203-2338 | |
| (425) 252-8102 | |
| (425) 339-0835 |
| Full Name | Terry Spark Corwin |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 4310 Colby Ave, Everett, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912954744 | NPI | - | NPPES |
| 0160332 | Other | WA | LABOR AND INDUSTRY |
| 340020074 | Other | WA | RAILROAD MEDICARE |
| MD00040591 | Other | WA | STATE LICENSE NUMBER |
| 8311342 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00040591 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Ut Southwestern University Hospital - William P. Clements Jr. | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services- Washington | 8325100480 | 413 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Spark Corwin, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 747-2455 | Terry Spark Corwin, MD 4310 Colby Ave, Suite 203, Everett, WA 98203-2338 Ph: (425) 252-8102 |
Brian Chi-ming Fong, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4310 Colby Ave, Suite 203, Everett, WA 98203 Phone: 425-252-8102 Fax: 425-339-0835 | |
Gary Stack, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4310 Colby Ave, Suite 203, Everett, WA 98203 Phone: 425-252-8102 | |
Dr. Christopher Robert Hempel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Dr. Jeong Hoon Yoon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Raymond K Whalen, MD Urology Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-258-3903 | |
Earl Dan Bardin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4225 Hoyt, Ste C, Everett, WA 98203 Phone: 425-252-2313 Fax: 425-258-1182 |