| Mr Douglas J Ichikawa, DPM | |
|
1609 116th Ave Ne, Bellevue, WA 98004-3024 | |
| (425) 283-5093 | |
| (425) 283-5095 |
| Full Name | Mr Douglas J Ichikawa |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 37 Years |
| Location | 1609 116th Ave Ne, Bellevue, 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 |
|---|---|---|---|
| 1124099601 | NPI | - | NPPES |
| 0231400 | Other | WA | L&I |
| 1124099601 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO00000422 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Washington Medical Ctr | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Association Of University Physicians | 0446162697 | 3327 |
| Bellevue Podiatric Physicians Pllc | 4981699063 | 4 |
| Provider Name | The Association Of University Physicians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
| Provider Name | Bellevue Podiatric Physicians Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467555888 PECOS PAC ID: 4981699063 Enrollment ID: O20040419000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas J Ichikawa, DPM 1609 116th Ave Ne, Bellevue, WA 98004-3024 Ph: (425) 283-5093 | Mr Douglas J Ichikawa, DPM 1609 116th Ave Ne, Bellevue, WA 98004-3024 Ph: (425) 283-5093 |
Molly Ichikawa, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1609 116th Ave Ne, Bellevue, WA 98004 Phone: 425-283-5093 | |
Bellevue Podiatry Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1370 116th Ave Ne, Ste. 206, Bellevue, WA 98004 Phone: 425-450-0565 Fax: 425-462-1742 | |
Careplus Foot And Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 12737 Bel Red Rd, Suite 200, Bellevue, WA 98005 Phone: 425-455-0936 Fax: 425-462-8080 | |
Hubert W Lee, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12737 Bel-red Rd, Suite 200, Bellevue, WA 98005 Phone: 425-455-0936 Fax: 425-462-8080 | |
Professional Recreation Organization, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4455 148th Ave Ne, Bellevue, WA 98007 Phone: 425-895-6546 Fax: 425-861-6277 | |
Dr. Jason H Kim, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589 |