Amare Melak Kassahun, NP | |
707 S Grady Way Ste 600, Renton, WA 98057 | |
(206) 823-1004 | |
(206) 309-3319 |
Full Name | Amare Melak Kassahun |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 707 S Grady Way Ste 600, Renton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538721881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AP60980899 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60980899 (Washington) | Primary |
Entity Name | South Sound Inpatient Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
Entity Name | Cogent Healthcare Of Washington, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839 |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Entity Name | Daiya Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20190501001702 |
Entity Name | Sound Physicians Emergency Medicine Of Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855 |
Entity Name | Hospitalist Medicine Physicians Of California-san Bernardino, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376188078 PECOS PAC ID: 4082041280 Enrollment ID: O20200228000868 |
Mailing Address | Practice Location Address |
---|---|
Amare Melak Kassahun, NP 707 S Grady Way Ste 600, Renton, WA 98057-3227 Ph: (206) 823-1004 | Amare Melak Kassahun, NP 707 S Grady Way Ste 600, Renton, WA 98057 Ph: (206) 823-1004 |