Dr Jean Gruver, MD | |
1355 N 205th St, Shoreline, WA 98133-3215 | |
(206) 542-5656 | |
Not Available |
Full Name | Dr Jean Gruver |
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Gender | Female |
Speciality | Pediatrics |
Location | 1355 N 205th St, Shoreline, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619051174 | NPI | - | NPPES |
8234429 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00028754 (Washington) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Jean Gruver, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420 | Dr Jean Gruver, MD 1355 N 205th St, Shoreline, WA 98133-3215 Ph: (206) 542-5656 |
Ellen Simone Passloff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 N 175th St, Shoreline, WA 98133 Phone: 206-401-3200 | |
Anne H Reese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 357 Nw Richmond Beach Rd, Richmond Pediatrics, Shoreline, WA 98177 Phone: 206-546-2421 Fax: 206-546-8436 | |
Dr. Marion L Folkemer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N 205th St, Shoreline, WA 98133 Phone: 206-542-5656 Fax: 206-520-1899 | |
Melissa Cecilia Walsh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 357 Nw Richmond Beach Rd, Shoreline, WA 98177 Phone: 206-546-2421 | |
Mr. Donald Robert Milligan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15230 15th Ave Ne, Shoreline, WA 98155 Phone: 206-361-3087 Fax: 206-361-3035 | |
Dr. Susan Mary Hyde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N 205th St, Shoreline, WA 98133 Phone: 206-542-5656 | |
Mrs. Melissa Nicole Genualdi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 604 Nw Richmond Beach Rd, Shoreline, WA 98177 Phone: 206-533-2900 |