Kathy A Risse, MD | |
2671 Ne 46th St, Seattle, WA 98105-5041 | |
(206) 525-8000 | |
(206) 525-8070 |
Full Name | Kathy A Risse |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2671 Ne 46th St, 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 |
---|---|---|---|
1942393939 | NPI | - | NPPES |
0039577 | Other | WA | LABOR AND INDUSTRIES # |
8291692 | Medicaid | WA | |
7556RI | Other | WA | BLUE SHIELD # |
US7586226 | Other | WA | AETNA SPECIALIST PIN |
MD0948W | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00037889 (Washington) | Primary |
Entity Name | Virginia Mason Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
Mailing Address | Practice Location Address |
---|---|
Kathy A Risse, MD 1100 9th Ave, Ms: M4-pfs, Seattle, WA 98101-2756 Ph: (206) 515-5811 | Kathy A Risse, MD 2671 Ne 46th St, Seattle, WA 98105-5041 Ph: (206) 525-8000 |
Dr. James Toliver Bennett Jr., M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Genetic Medicine, Seattle, WA 98105 Phone: 206-987-2056 | |
Dr. Leslie Ann Dervan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105 Phone: 206-987-0293 | |
Dr. Indi Trehan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Seattle, WA 98105 Phone: 206-987-2000 | |
Isabelle Maria Kiefaber, Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105 Phone: 206-987-2525 | |
Alexa Mason, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2671 Ne 46th St, Seattle, WA 98105 Phone: 206-525-8000 Fax: 206-525-8070 | |
Dr. Gloria A. Arand, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 16th Ave E, Seattle, WA 98112 Phone: 206-326-3530 | |
Marcella Theresia Mascher Denen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065 |