One Source Medical is a
Nurse Practitioner based in Lynnwood, Washington. One Source Medical is licensed to practice in Washington (license number AP30003917) and their current practice location is
18730 33rd Ave W, Lynnwood, Washington. It can be reached at their office (for appointments etc.) via phone at
(425) 774-8600.
NPI number for One Source Medical is 1225497233 and their current mailing address is 18730 33rd Ave W, Lynnwood, Washington. One Source Medical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225497233.
Healthcare Provider's Profile
Full Name | One Source Medical |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 18730 33rd Ave W, Lynnwood, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225497233
- Provider Enumeration Date: 02/18/2016
- Last Update Date: 02/18/2016
Medical Identifiers
Medical identifiers for One Source Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225497233 | NPI | - | NPPES |
9618364 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 60207940 (Washington) | Secondary |
363L00000X | Nurse Practitioner | AP30003917 (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. One Source Medical 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 |
One Source Medical 18730 33rd Ave W, Lynnwood, WA 98037-4756 Ph: (425) 774-8600 | One Source Medical 18730 33rd Ave W, Lynnwood, WA 98037-4756 Ph: (425) 774-8600 |
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