Jeffrey L Stone, MD | |
4011 Talbot Rd S, Renton, WA 98055 | |
(425) 228-6076 | |
(425) 226-5224 |
Full Name | Jeffrey L Stone |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 4011 Talbot Rd S, Renton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194767509 | NPI | - | NPPES |
2037324 | Medicaid | WA | |
634686754 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD2004-0818 (New Mexico) | Secondary |
208600000X | Surgery | 4310 (Montana) | Secondary |
208600000X | Surgery | MD60360724 (Washington) | Primary |
Entity Name | Valley Medical Group-renton |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey L Stone, MD 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057 Ph: (425) 228-3440 | Jeffrey L Stone, MD 4011 Talbot Rd S, Renton, WA 98055 Ph: (425) 228-6076 |
Chad Michael Bailey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17930 Talbot Rd S, Renton, WA 98055 Phone: 425-228-3187 Fax: 425-228-7972 | |
Nicole Kansier Zern, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 425-690-3433 Fax: 425-690-3433 | |
Rebecca Stickler, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 425-228-6076 Fax: 425-226-5224 | |
Dr. Christopher R Kinsella Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 425-690-3433 Fax: 425-690-9433 | |
Heather Wheeler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 423-228-6076 Fax: 425-226-5224 | |
Dr. Michelle M Eden, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd. S., Ste #530, Renton, WA 98055 Phone: 425-228-6076 Fax: 425-226-5224 |