Jerome William Mueller, MD | |
12400 E Marginal Way S, Tukwila, WA 98168-2559 | |
(206) 901-7777 | |
Not Available |
Full Name | Jerome William Mueller |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 12400 E Marginal Way S, Tukwila, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710175633 | NPI | - | NPPES |
8602682 | Medicaid | WA | |
MD00023749 | Other | WA | STATE OF WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00023749 (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 |
---|---|
Jerome William Mueller, MD 732 15th Ave, Seattle, WA 98122-4516 Ph: () - | Jerome William Mueller, MD 12400 E Marginal Way S, Tukwila, WA 98168-2559 Ph: (206) 901-7777 |
Bev-lorraine Bergman True, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 E Marginal Way S, Tukwila, WA 98168 Phone: 800-337-3197 Fax: 206-901-2269 | |
Dr. Ann-elizabeth Georgianne Jarris, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13075 Gateway Dr S Ste 100, Tukwila, WA 98168 Phone: 206-905-4608 | |
Robin Haley, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12400 E Marginal Way S, Tukwila, WA 98168 Phone: 206-901-7777 | |
Mark Allen Lundquist, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Andover Park E Ste 8, Tukwila, WA 98188 Phone: 206-575-3136 Fax: 206-575-4892 |