Dr Andrea Tiffany Friesen, MD | |
4114 Bridgeport Way W, University Place, WA 98466-4315 | |
(253) 564-8100 | |
(253) 564-8387 |
Full Name | Dr Andrea Tiffany Friesen |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4114 Bridgeport Way W, University Place, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144232513 | NPI | - | NPPES |
8400574 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00043696 (Washington) | Primary |
Entity Name | Up Family Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417577909 PECOS PAC ID: 6204266638 Enrollment ID: O20200424002722 |
Entity Name | Glutality Provider Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200911002266 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrea Tiffany Friesen, MD 4114 Bridgeport Way W, University Place, WA 98466-4315 Ph: (253) 564-4157 | Dr Andrea Tiffany Friesen, MD 4114 Bridgeport Way W, University Place, WA 98466-4315 Ph: (253) 564-8100 |
Karen Lea Semones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3556 Market Pl W Ste 109, University Place, WA 98466 Phone: 253-215-1122 | |
Dr. Michael Reid Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5350 Orchard St W, Suite 202, University Place, WA 98467 Phone: 253-472-4444 Fax: 253-301-4360 | |
Michael W Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W, Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Dr. Paul William Schmidt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Raphael U Peralta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W Ste 100, University Place, WA 98466 Phone: 253-564-0170 | |
Dr. Robert Harrison Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4401 Bridgeport Way W, Suite 100, University Place, WA 98466 Phone: 253-564-4157 Fax: 253-564-4813 |