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 | 11 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 | |
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 | |
Dr. Mark K Williams, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 165 Lilly Rd Ne Ste A, Olympia, WA 98506 Phone: 360-438-9092 Fax: 360-438-3906 |