Dr Elaine Mae Peterson, DO | |
2335 172nd St Ne, Marysville, WA 98271-4753 | |
(360) 651-1550 | |
(360) 651-1560 |
Full Name | Dr Elaine Mae Peterson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2335 172nd St Ne, Marysville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912344367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OP60644914 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Dr Elaine Mae Peterson, DO 2335 172nd St Ne, Marysville, WA 98271-4753 Ph: (360) 651-1550 | Dr Elaine Mae Peterson, DO 2335 172nd St Ne, Marysville, WA 98271-4753 Ph: (360) 651-1550 |
Dr. Sarah Eva Bergman Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 | |
Sophia Shiau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 | |
Michael Su, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 Fax: 360-454-1991 | |
Denise Shushan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7482 Fax: 360-651-7482 | |
Minkyung Shin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 | |
Cheryl Nirmali De Silva, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8923 Soper Hill Rd, Marysville, WA 98270 Phone: 425-397-1702 Fax: 425-397-1750 | |
Shirley Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 |