Dr Lauren Kathleen Fetty, MD - Medicare Diagnostic Radiology in Port Angeles, WA

Dr Lauren Kathleen Fetty, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Port Angeles, Washington. She went to Rush Medical College Of Rush University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice South Sound Radiologists Inc P S, Radia Inc P S and her current practice location is 939 Caroline St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 565-9003.

Dr Lauren Kathleen Fetty is licensed to practice in Washington (license number MD61038016) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407268857.

Contact Information

Dr Lauren Kathleen Fetty, MD
939 Caroline St,
Port Angeles, WA 98362-3909
(360) 565-9003
(360) 565-9001



Physician's Profile

Full NameDr Lauren Kathleen Fetty
GenderFemale
SpecialityDiagnostic Radiology
Experience10 Years
Location939 Caroline St, Port Angeles, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lauren Kathleen Fetty attended and graduated from Rush Medical College Of Rush University in 2014
  NPI Data:
  • NPI Number: 1407268857
  • Provider Enumeration Date: 05/20/2014
  • Last Update Date: 12/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961628862
  • Enrollment ID: I20200709002438

Medical Identifiers

Medical identifiers for Dr Lauren Kathleen Fetty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407268857NPI-NPPES
0427056OtherWAL&I-VANCOUVER RADIOLOGY
0426796OtherWAL&I-RADIA REST OF WA
0426800OtherWAL&I-EVERGREEN RADIA
2160014MedicaidWA
0426798OtherWAL&I-RADIA KING CTY
0426797OtherWAL&I-SWEDISH RADIA EDMONDS
0426804OtherWAL&I-SOUTH SOUND RADIOLOGY
0426805OtherWAL&I-SEATTE RADIOLOGY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 71514-20 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology MD61038016 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Centralia HospitalCentralia, WAHospital
Arbor Health Morton HospitalMorton, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Sound Radiologists Inc P S125422930558
Radia Inc P S9931012812254

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lauren Kathleen Fetty allows following entities to bill medicare on her behalf.
Entity NameRadia Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20031106000749

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Entity NameEvergreen Radia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922095694
PECOS PAC ID: 4587568076
Enrollment ID: O20031125000896

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Entity NameSouth Sound Radiologists Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902990500
PECOS PAC ID: 1254229305
Enrollment ID: O20040309001119

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Entity NameSwedish Radia Imaging Center At Edmonds Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494373
PECOS PAC ID: 5496778292
Enrollment ID: O20060106000841

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Entity NameRadia Imaging Center Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639653017
PECOS PAC ID: 6305182965
Enrollment ID: O20190118000572

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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 Lauren Kathleen Fetty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lauren Kathleen Fetty, MD
19020 33rd Ave W Ste 210,
Lynnwood, WA 98036-4748

Ph: (425) 563-1500
Dr Lauren Kathleen Fetty, MD
939 Caroline St,
Port Angeles, WA 98362-3909

Ph: (360) 565-9003

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Radiology Doctors in Port Angeles, WA

Dr. Kirk A Cole, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    
Dr. Benjamin P Pisciotta, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    
Dr. Juleann C Gandara, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    
Dr. Sherrie L Chatzkel, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    
Dr. Clare S Bertucio, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    

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