John M Brockenbrough, MD | |
12303 Ne 130th Ln Ste 400, Kirkland, WA 98034-3041 | |
(425) 899-4590 | |
(425) 899-4591 |
Full Name | John M Brockenbrough |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 28 Years |
Location | 12303 Ne 130th Ln Ste 400, Kirkland, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134154131 | NPI | - | NPPES |
6447860011 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036101927 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evergreenhealth Medical Center | Kirkland, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
King County Public Hospital District No 2 | 7618880097 | 497 |
Entity Name | King County Public Hospital District No 2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
Mailing Address | Practice Location Address |
---|---|
John M Brockenbrough, MD Po Box 34036, Seattle, WA 98124-1036 Ph: (425) 899-3292 | John M Brockenbrough, MD 12303 Ne 130th Ln Ste 400, Kirkland, WA 98034-3041 Ph: (425) 899-4590 |
Dr. Kenneth D Faw, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12333 Ne 130th Ln Ste 440, Kirkland, WA 98034 Phone: 425-899-3838 Fax: 425-899-3844 | |
Mr. William Gregory Young Jr., M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12333 Ne 130th Ln Ste 440, Kirkland, WA 98034 Phone: 425-899-3838 Fax: 425-899-3844 | |
Ludwig A Allegra, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3100 Carillon Point, Kirkland, WA 98033 Phone: 425-576-1700 Fax: 425-827-7725 | |
Dr. Daniel James Liebertz, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5209 Lake Washington Blvd Ne, Ste 115, Kirkland, WA 98033 Phone: 425-822-0300 Fax: 425-822-4999 |