Victor R Michalak
A Medicare group practice based in Issaquah, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8022918994), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8022918994
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040109000056 | WA | Part B Supplier - Clinic/Group Practice | 1003863416 |
| O20040316000463 | WA | Part B Supplier - Ambulatory Surgical Center | 1104877976 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Victor R. Michalak
dba dba Cosmetic Surgery & Dermatology of Issaquah, Inc.
- Ambulatory Surgical Clinic/Center
- Issaquah, WA
- NPI 1104877976
-
Victor R. Michalak, MD
dba Cosmetic Surgery & Dermatology, Inc.
- Dermatology Physician
- Issaquah, WA
- NPI 1003863416
Practice locations
- Issaquah, WA2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).
-
Jillian Daly Gartland
- Registered Nurse
- Bellevue, WA
- NPI 1245825322
-
Victor Roman Michalak, M.D.
- Specialist
- Issaquah, WA
- NPI 1922050616
-
Emily Nardiello, PA-C
- Physician Assistant
- Issaquah, WA
- NPI 1528454717
-
Elizabeth Jayne Keller Wood, MS, PA-C
- Physician Assistant
- Federal Way, WA
- NPI 1376782763
-
Ashley Ping Wu
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1447799911
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.