| David Wayne Overton, PA-C | |
|
1315 Ruddell Rd Se, Lacey, WA 98503-5701 | |
| (360) 357-8054 | |
| (360) 236-9703 |
| Full Name | David Wayne Overton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 43 Years |
| Location | 1315 Ruddell Rd Se, Lacey, 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 |
|---|---|---|---|
| 1851307003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10001318 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grays Harbor Community Hospital | Aberdeen, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Pain Care Ps | 1759630379 | 2 |
| Entity Name | Lake Washington Private Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427109271 PECOS PAC ID: 7911009170 Enrollment ID: O20070220000055 |
| Entity Name | Advanced Pain Care PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114410495 PECOS PAC ID: 1759630379 Enrollment ID: O20180815001389 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wayne Overton, PA-C 5408 S Bay Ter Ne, Olympia, WA 98516-9629 Ph: Not Available | David Wayne Overton, PA-C 1315 Ruddell Rd Se, Lacey, WA 98503-5701 Ph: (360) 357-8054 |
Loa Pitmon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5643 46th Ln Se, Lacey, WA 98503 Phone: 360-621-3802 |
Cecilia Christensen, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840 |
Kaitlyn Paige Herrmann, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4326 Savannah Loop Ne, Lacey, WA 98516 Phone: 219-796-6037 |
Ramzy Assaf, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5000 Abbey Way Se, Lacey, WA 98503 Phone: 360-438-4536 |
Cara Elizabeth Bardwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 Fax: 360-486-2901 |
Liliana Rolle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 |
Ms. Cynthia Marie Cameli, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5602 Ruddell Rd Se, Lacey, WA 98503 Phone: 360-438-0394 Fax: 360-493-0824 |