Reegis Preston Coburn, | |
9800 4th Ave Ne, Seattle, WA 98115-2152 | |
(206) 302-1200 | |
Not Available |
Full Name | Reegis Preston Coburn |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 9800 4th Ave Ne, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780320754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW61142328 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
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Reegis Preston Coburn, 1200 Sw 27th St, Renton, WA 98057-2603 Ph: (206) 630-1680 | Reegis Preston Coburn, 9800 4th Ave Ne, Seattle, WA 98115-2152 Ph: (206) 302-1200 |
Jacqueline M. Kim, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359760, Seattle, WA 98104 Phone: 206-744-8511 Fax: 206-744-2032 | |
Mr. Patrick Lefebvre Hains, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 Broadway 1st Floor., Seattle, WA 98122 Phone: 206-744-9600 Fax: 206-744-9919 | |
Kathryn Amanda Lidgard, LSWAIC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 24th Ave S Ste 260, Seattle, WA 98144 Phone: 206-715-6051 | |
Ms. Molly Grogan, LSWAIC CDPT MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Sw Holden St, Seattle, WA 98126 Phone: 206-933-7000 | |
Arianna Daniels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 301-356-1580 | |
Paige Hustead Law, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200 | |
Tammie Bui, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 5th Ave Ste 900, Seattle, WA 98104 Phone: 415-444-6062 |