| Timothy Hewitt, MD | |
|
907 Georgiana St, Port Angeles, WA 98362-3911 | |
| (360) 565-0999 | |
| (360) 565-9251 |
| Full Name | Timothy Hewitt |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 907 Georgiana St, Port Angeles, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396205332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 61492015 (Washington) | Primary |
| Entity Name | Olympic Medical Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Hewitt, MD 939 Caroline St, Po Box 850, Port Angeles, WA 98362-3997 Ph: (360) 417-7000 | Timothy Hewitt, MD 907 Georgiana St, Port Angeles, WA 98362-3911 Ph: (360) 565-0999 |
Byron Dale Russell, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Dr. Rex Thomas Averill, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Carleen T Bensen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Erin Elizabeth Ellison, MD Urology Medicare: Medicare Enrolled Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Laurel S. Mast, MD Urology Medicare: Medicare Enrolled Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 |