Dr Jon Montgomery Mcclellan, MD | |
8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | |
(253) 756-2319 | |
(253) 756-3911 |
Full Name | Dr Jon Montgomery Mcclellan |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 8805 Steilacoom Blvd Sw, Lakewood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548244932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD00023282 (Washington) | Primary |
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
Mailing Address | Practice Location Address |
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Dr Jon Montgomery Mcclellan, MD 13925 Par Pl Ne, Seattle, WA 98125-3054 Ph: (206) 367-7290 | Dr Jon Montgomery Mcclellan, MD 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 Ph: (253) 756-2319 |
Ms. Ileana Calinoiu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8805 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-756-2322 Fax: 253-756-3911 | |
Pietro M Poletti, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9115 Bridgeport Way Sw Ste 1, Lakewood, WA 98499 Phone: 206-743-4469 Fax: 425-212-1808 | |
Alex Beugelsdijk, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9601 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-582-8900 | |
Dr. Russell D Hicks, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9330 59th Ave Sw, - Multicare Behavioral Health, Lakewood, WA 98499 Phone: 253-445-8120 Fax: 253-697-8590 | |
Dr. Armando Serna Heredia, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9601 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-582-8900 | |
Dr. Manuel Francisco Bautista, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9115 Bridgeport Way Sw, Ste 1, Lakewood, WA 98499 Phone: 253-581-6303 Fax: 253-581-3316 | |
John Gregory Zoltani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7502 Lakewood Dr W, Suite C-7, Lakewood, WA 98499 Phone: 253-581-8151 Fax: 253-581-8152 |