Jessica Kuculyn, | |
315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | |
(253) 403-1126 | |
Not Available |
Full Name | Jessica Kuculyn |
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Gender | Female |
Speciality | Counselor |
Location | 315 Martin Luther King Jr Way, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275765984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Jessica Kuculyn, Po Box 5299, Tacoma, WA 98415-0299 Ph: () - | Jessica Kuculyn, 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 Ph: (253) 403-1126 |
Kenneth E Clifton, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-4631 | |
David Andrew Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 N 44th St, Tacoma, WA 98407 Phone: 253-759-9544 | |
Leah Marie Bedker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 N 44th St, Tacoma, WA 98407 Phone: 253-759-9544 | |
Ms. Kimberly Noel Zacher, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 S Proctor St, Tacoma, WA 98405 Phone: 253-396-5800 Fax: 253-759-7008 | |
Mr. James Wesley Pogue Jr., MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Yakima Ave, Tacoma, WA 98405 Phone: 253-396-5237 | |
Ms. Sarah Lisa Bennett, MA, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 3021 6th Ave, Tacoma, WA 98406 Phone: 253-326-2816 | |
Barbara J Cook, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 S 13th St, Tacoma, WA 98402 Phone: 253-396-5000 Fax: 253-383-5548 |