Dane Bay, M.D., M.P.H.
Individual provider Active NPI Family Medicine Physician · Enumclaw, WA
NPI 1346690625 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1346690625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD60947429 (WA)
- Practice address
- 3021 Griffin Ave
Enumclaw, WA 98022-2369 - Phone
- (360) 825-6511
- Fax
- (253) 272-0419
- NPI assigned
- Jun 16, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
3021 Griffin Ave
Enumclaw, WA 98022-2369
Phone (360) 825-6511
Hospital & facility affiliations
- Centerwell Home Health
- CHI Franciscan Health at Home
- St Joseph Medical Center
- St Elizabeth Hospital
- St Francis Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
| 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 |
|---|---|---|---|---|
| I20191107002809 | WA | Practitioner - Family Practice | 4981992526 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125069413 | IL | MD | Family Medicine Physician |
| MD60947429 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Family Medicine | Current |
Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Past | Accepting new patients |
Locations
3021 Griffin Ave
Enumclaw, WA 98022
Phone (253) 833-6241
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- dbay528600@fhsce.catholichealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125069413 | IL | |
| Family Medicine Physician | 207Q00000X | MD60947429 | WA | Yes |
Addresses
Primary practice location
3021 Griffin Ave
Enumclaw, WA 98022-2369
Mailing address
3021 Griffin Ave
Enumclaw, WA 98022-2369
Phone (360) 825-6511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141678 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbay528600@fhsce.catholichealth.net | Direct |
Other providers in Enumclaw, WA
- Lisa Marie Baas
- Anmol Singh Bajwa
- Nicole Dawn Barber
- Alisha Louise Barr
- Trina Marie Bastion
- Nancy Ann Becker
- Vanessa Begazo-Aravena
- K'la Jade Benson
- Justin Andrew Bergstrom
- Neil E Bergstrom
All providers in Enumclaw, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. 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.