Dr Jack K Handley, MD | |
12040 Ne 128th St, Kirkland, WA 98034-3013 | |
(425) 899-1000 | |
Not Available |
Full Name | Dr Jack K Handley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 12040 Ne 128th St, Kirkland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811936024 | NPI | - | NPPES |
184577 | Other | WA L & I | |
8938304 | Other | CRIME VICTIM | |
8237216 | Medicaid | WA | |
HA3927 | Other | REGENCEBS | |
G85988 | Other | GROUP HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00036702 (Washington) | Primary |
Entity Name | King County Public Hospital District No 2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
Entity Name | Evergreen Emergency Services Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619912524 PECOS PAC ID: 4981694155 Enrollment ID: O20040518000743 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack K Handley, MD File 50421, Los Angeles, CA 90074-0001 Ph: (800) 793-3529 | Dr Jack K Handley, MD 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: (425) 899-1000 |
Austin M Gross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1711 | |
Dr. Wade W Webster, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Dominic Connolly, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Larisa A Kaukonen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Chad M Bentsen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Ronald Cole Dobson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8315 Ne Juanita Dr, Kirkland, WA 98034 Phone: 206-718-4072 Fax: 206-215-6599 | |
Dr. Adrian M Whorton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 |