| Jerod Stanley, DPM | |
|
3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 | |
| (360) 943-9600 | |
| (360) 943-9694 |
| Full Name | Jerod Stanley |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 12 Years |
| Location | 3525 Ensign Rd Ne Ste N, Olympia, 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 |
|---|---|---|---|
| 1356758668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO60750804 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanley And Utterback | 1052681509 | 2 |
| Provider Name | Stanley & Utterback |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558897942 PECOS PAC ID: 1052681509 Enrollment ID: O20170717002311 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerod Stanley, DPM 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 Ph: (360) 943-9600 | Jerod Stanley, DPM 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 Ph: (360) 943-9600 |
Donald G Hovancsek, D.p.m. Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2828 Martin Way E, Olympia, WA 98506 Phone: 360-943-9600 Fax: 360-943-9694 | |
Kelley Ann Gillroy, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 165 Lilly Rd Ne Ste A, Olympia, WA 98506 Phone: 360-438-9092 Fax: 604-383-9063 | |
S Sound Foot & Ankle Inc Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
M Hopkins Dpm Ps Podiatrist Medicare: Medicare Enrolled Practice Location: 3525 Ensign Rd Ne Ste L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
Stewart Foot And Ankle, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2008 Caton Way Sw Ste 203-b2, Olympia, WA 98502 Phone: 425-842-3865 | |
Richard Edward Horsman, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 |