Dr John Michael Hautala, MD in Fircrest, WA - Pediatrics

Dr John Michael Hautala, MD is a Pediatrics - Adolescent Medicine physician based in Fircrest, Washington. Dr John Michael Hautala is licensed to practice in Washington (license number MD00019059) and his current practice location is 1033 Regents Blvd, Suite 102, Fircrest, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 564-1115.

NPI number for Dr John Michael Hautala is 1174664130 and his current mailing address is 1033 Regents Blvd, Suite 102, Fircrest, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174664130.

Contact Information

	Dr John Michael Hautala, MD
	1033 Regents Blvd, Suite 102, Fircrest, WA 98466-6045
	(253) 564-1115
	(253) 565-4552

Physician's Profile

Full Name	Dr John Michael Hautala
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	1033 Regents Blvd, Fircrest, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1174664130
Provider Enumeration Date: 02/10/2007
Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr John Michael Hautala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174664130	NPI	-	NPPES
1783703	Medicaid	WA
MD00019059	Other	WA	STATE LICENSE NUMBER
108917	Other	WA	L&I NUMBER
HA7840	Other	WA	REGENCE BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	MD00019059 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Michael Hautala is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr John Michael Hautala, MD 1033 Regents Blvd, Suite 102, Fircrest, WA 98466-6045 Ph: (253) 564-1115	Dr John Michael Hautala, MD 1033 Regents Blvd, Suite 102, Fircrest, WA 98466-6045 Ph: (253) 564-1115

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Pediatrics Doctors in Fircrest, WA

Dr. Bruce Gerard Davies, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd, Suite 102, Fircrest, WA 98466 Phone: 253-564-1115 Fax: 253-565-4552
Dr. Belinda Shunk Rone, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd, Suite 102, Fircrest, WA 98466 Phone: 253-564-1115 Fax: 253-565-4552
Dr. Megan Struthers, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd Ste 102, Fircrest, WA 98466 Phone: 253-564-1115 Fax: 253-565-4552
Paul E Debusschere, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd, Suite 102, Fircrest, WA 98466 Phone: 253-564-1115 Fax: 253-565-4552
Malgorzata Maria Skarzynska, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1033 Regents Blvd Ste 102, Fircrest, WA 98466 Phone: 253-564-1115
Dr. Michelle Ost, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd Ste 102, Fircrest, WA 98466 Phone: 253-564-1115 Fax: 253-565-4552

Dr John Michael Hautala, MD - Pediatrics in Fircrest, WA