Scott Agee, DO
Individual provider Active NPI Family Medicine Physician · Oak Park, IL
NPI 1154700938 · NPPES record last updated Jul 21, 2018
Key facts
- NPI
- 1154700938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036146381 (IL)
- Practice address
- 14 Lake St
Oak Park, IL 60302 - Phone
- (708) 383-0113
- Fax
- (708) 393-9911
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191126003101 | WA | Practitioner - Family Practice |
9931420890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Family Medicine | Current |
Accepting new patients |
| Multicare Health System | Family Medicine | Past | Accepting new patients |
| Multicare Health System | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- sagee440945@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 036146381 | IL | Yes |
Addresses
Primary practice location
14 Lake St
Oak Park, IL 60302
Mailing address
14 Lake St
Oak Park, IL 60302-2606
Phone (708) 383-0113
Other practice location 1
10122 E. 10th St
Ste 100
Indianapolis, IN 46229-2697
Phone (317) 355-5717
Other providers in Oak Park, IL
- Affection Home Care LLC
- Affection Wound Care
- Affiliated Dialysis Centers LLC
- Affiliates in Diseases & Surgery of the Skin, S.C.
- African American Christian Foundation
- Ageoptions Inc.
- Michele Agney
- Agruss Center for Health and Wellness LLC
- Susan Agruss
- Angel Aguilar
All providers in Oak Park, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.