Clinton Anderson, MD | |
12800 Bothell Everett Hwy, Everett, WA 98208-6642 | |
(425) 316-5150 | |
(425) 225-1006 |
Full Name | Clinton Anderson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 12800 Bothell Everett Hwy, Everett, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134106867 | NPI | - | NPPES |
062M8AN | Other | MN | BLUE CROSS |
127521 | Medicaid | MN | |
390405933 | Medicaid | MN | |
3526343 | Medicaid | IA | |
8523219 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 41558 (Minnesota) | Secondary |
207Q00000X | Family Medicine | MD60037715 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services- Washington | 8325100480 | 424 |
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 |
Mailing Address | Practice Location Address |
---|---|
Clinton Anderson, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Clinton Anderson, MD 12800 Bothell Everett Hwy, Everett, WA 98208-6642 Ph: (425) 316-5150 |
Raynald H Im, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
Kelvin Karl Yu Wong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Arnold Heng, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3305 | |
Nathan P Kerestes, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8609 Evergreen Way, Everett, WA 98208 Phone: 801-930-3369 | |
Monica Gillie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1019 112th St Sw, Everett, WA 98204 Phone: 425-640-5500 | |
Dr. Leslie A Greene, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
Corina Nistor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4027 Hoyt Ave, Everett, WA 98201 Phone: 425-317-3630 Fax: 425-317-3689 |