Keith Robert Jerome, | |
Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | |
(206) 288-1000 | |
Not Available |
Full Name | Keith Robert Jerome |
---|---|
Gender | Male |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | Ambulatory Clinic, 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 |
---|---|---|---|
1386724367 | NPI | - | NPPES |
1322 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
1386724367 | Medicaid | WA | |
0231435 | Other | WA | L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MD00036076 (Washington) | Primary |
Entity Name | The Association Of University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
Mailing Address | Practice Location Address |
---|---|
Keith Robert Jerome, Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420 | Keith Robert Jerome, Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 Ph: (206) 288-1000 |
Afshin Shameli, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000 | |
Dr. Mark Robert, Michael Kilgore, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356100, Seattle, WA 98195 Phone: 206-598-1821 Fax: 206-598-3803 | |
Erin R Rudzinski, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4800 Sandpoint Way Ne, A6901, Department Of Laboratories, Seattle, WA 98105 Phone: 206-987-2103 Fax: 206-987-3840 | |
Corinne Lina Fligner, Pathology Medicare: Not Enrolled in Medicare Practice Location: University Of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-598-6400 | |
Jennifer Lapointe, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065 | |
Lee-ching Zhu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 125 16th Ave E, Seattle, WA 98112 Phone: 206-326-3000 | |
Dr. Saron Ann Elizabeth Smith, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1229 Madison St Ste 820, Seattle, WA 98104 Phone: 206-576-6507 |