Jonathan Chen, | |
4800 Sand Point Way Ne, 2.820, Seattle, WA 98105-3901 | |
(206) 987-5759 | |
(206) 987-3839 |
Full Name | Jonathan Chen |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 4800 Sand Point Way Ne, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972690071 | NPI | - | NPPES |
8392706 | Medicaid | NJ | |
0073377 | Medicaid | NJ | |
02242175 | Medicaid | NY | |
W13551 | Other | NY | EMPIRE MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD60351835 (Washington) | Primary |
208600000X | Surgery | MD60351835 (Washington) | Secondary |
Entity Name | Children's Surgical Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Chen, 4800 Sand Point Way Ne, 2.820, Seattle, WA 98105-3901 Ph: (206) 987-5159 | Jonathan Chen, 4800 Sand Point Way Ne, 2.820, Seattle, WA 98105-3901 Ph: (206) 987-5759 |
Michael S Mulligan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-598-1980 | |
Dr. Maziar Khorsandi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Dev R Manhas, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1600 E Jefferson St, Ste 110, Seattle, WA 98122 Phone: 206-320-7300 Fax: 206-320-4698 | |
Charlene Elizabeth Tennyson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Dr. Donald Wesley Miller Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-731-3241 | |
Dr. Adam Jason Bograd, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1101 Madison St Ste 900, Seattle, WA 98104 Phone: 206-215-6800 | |
Anne-sophie Laliberte, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1101 Madison St Ste 900, Seattle, WA 98104 Phone: 206-215-6800 Fax: 206-215-6801 |