Dr Justin Daniel Heistand, MD | |
11511 Ne 10th St, Bellevue, WA 98004-8578 | |
(425) 502-4120 | |
Not Available |
Full Name | Dr Justin Daniel Heistand |
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Gender | Male |
Speciality | Pediatrics |
Location | 11511 Ne 10th St, Bellevue, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598928244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD 60217230 (Washington) | Secondary |
208000000X | Pediatrics | ML60019739 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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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 |
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Dr Justin Daniel Heistand, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-4120 | Dr Justin Daniel Heistand, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-4120 |
Eric Albert Gustafson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Northup Way, Bellevue, WA 98004 Phone: 425-827-4600 | |
Dr. Arlene Elizabeth Ritzen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 116th Ave Ne, Bellevue, WA 98004 Phone: 425-453-0404 | |
Dr. Emily Susan Showman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3633 136th Place Se, Suite #110, Bellevue, WA 98006 Phone: 425-747-7202 Fax: 425-643-0635 | |
Allyson Hana Mei-yan Koh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2475 140th Ave Ne Bldg C, Bellevue, WA 98005 Phone: 425-828-2257 Fax: 425-896-7034 | |
Tha Aung Saw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 112th Ave Ne Ste 320, Bellevue, WA 98004 Phone: 425-289-3000 Fax: 425-829-0259 | |
Ildiko Hegyvary Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 | |
Bill M Fournarakis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Northup Way, Bellevue, WA 98004 Phone: 425-827-4600 Fax: 425-828-2256 |