Charmaine Green, ARNP | |
150 Dennis St Sw, Tumwater, WA 98501-5459 | |
(360) 754-6367 | |
Not Available |
Full Name | Charmaine Green |
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Gender | Female |
Speciality | Family Medicine |
Location | 150 Dennis St Sw, Tumwater, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174245625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AP61325159 (Washington) | Primary |
Entity Name | Tumwater Family Practice Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881638559 PECOS PAC ID: 4587553268 Enrollment ID: O20040311000816 |
Entity Name | Capital Medical Center Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629214283 PECOS PAC ID: 3678639879 Enrollment ID: O20090312000311 |
Mailing Address | Practice Location Address |
---|---|
Charmaine Green, ARNP 150 Dennis St Sw, Tumwater, WA 98501-5459 Ph: () - | Charmaine Green, ARNP 150 Dennis St Sw, Tumwater, WA 98501-5459 Ph: (360) 754-6367 |
Dr. Andrea Marie Repphun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 | |
Sean Thomas Atteridge, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 | |
Dr. Cynthia Ann Whitney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw, Suite A, Tumwater, WA 98501 Phone: 360-754-6367 | |
Monica Anne Wilhelm, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 | |
Karolina Agnieszka Wilczynska-oberc, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 | |
Frantz Alphonse, Family Medicine Medicare: Medicare Enrolled Practice Location: 6981 Littlerock Rd Sw, Tumwater, WA 98512 Phone: 360-943-3633 |