Jose Mata, | |
629 Avenue D, Snohomish, WA 98290 | |
(605) 681-5543 | |
Not Available |
Full Name | Jose Mata |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 629 Avenue D, Snohomish, 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 |
---|---|---|---|
1346227170 | NPI | - | NPPES |
8459430 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5866640-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | MD00046741 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Washington Medical Group Inc Ps | 7517870314 | 94 |
Entity Name | Western Washington Medical Group Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396413803 PECOS PAC ID: 7517870314 Enrollment ID: O20031107000469 |
Entity Name | Sea-mar Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
Mailing Address | Practice Location Address |
---|---|
Jose Mata, 1728 W Marine View Dr Ste 110, Everett, WA 98201-2094 Ph: (425) 259-4041 | Jose Mata, 629 Avenue D, Snohomish, WA 98290 Ph: (605) 681-5543 |
William Bradlee Gerrish, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Avenue D, Snohomish, WA 98290 Phone: 360-568-1554 Fax: 360-568-1722 | |
Brittany Michelle Buescher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 17432 State Route 9 Se Ste 201, Snohomish, WA 98296 Phone: 425-404-7800 | |
Idar Eric Rommen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 629 Avenue D, Snohomish, WA 98290 Phone: 360-568-1554 Fax: 360-568-1722 | |
Lauren Elise Burton, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1830 Bickford Ave, Snohomish, WA 98290 Phone: 360-568-1502 | |
Ms. Kristy Marie Thompson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17432 State Route 9 Se Ste 201, Snohomish, WA 98296 Phone: 425-404-7800 | |
Roland V. Feltner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1830 Bickford Ave, Suite 211, Snohomish, WA 98290 Phone: 360-568-1502 | |
Dr. Claire Fung, M.D., M.P.H. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 2nd St, Snohomish, WA 98290 Phone: 360-563-8600 |