Joanna Marie F Polistico, MD | |
7210 40th St W Ste 100, University Place, WA 98466-4319 | |
(253) 564-0170 | |
(253) 274-4599 |
Full Name | Joanna Marie F Polistico |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 19 Years |
Location | 7210 40th St W Ste 100, University Place, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558682864 | NPI | - | NPPES |
2071930 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036132409 (Illinois) | Secondary |
207Q00000X | Family Medicine | MD60672297 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Tacoma, WA | Hospital |
St Clare Hospital | Lakewood, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Medical Group | 0547173866 | 1173 |
Entity Name | Franciscan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Mailing Address | Practice Location Address |
---|---|
Joanna Marie F Polistico, MD 7210 40th St W Ste 100, University Place, WA 98466-4319 Ph: (253) 564-0170 | Joanna Marie F Polistico, MD 7210 40th St W Ste 100, University Place, WA 98466-4319 Ph: (253) 564-0170 |
Karen Lea Semones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3556 Market Pl W Ste 109, University Place, WA 98466 Phone: 253-215-1122 | |
Dr. Michael Reid Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5350 Orchard St W, Suite 202, University Place, WA 98467 Phone: 253-472-4444 Fax: 253-301-4360 | |
Dr. Andrea Tiffany Friesen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4114 Bridgeport Way W, University Place, WA 98466 Phone: 253-564-8100 Fax: 253-564-8387 | |
Michael W Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W, Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Dr. Paul William Schmidt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Raphael U Peralta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 40th St W Ste 100, University Place, WA 98466 Phone: 253-564-0170 | |
Dr. Robert Harrison Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4401 Bridgeport Way W, Suite 100, University Place, WA 98466 Phone: 253-564-4157 Fax: 253-564-4813 |