Leroy M Nill, MD | |
200 15th Ave E, Seattle, WA 98112-5260 | |
(206) 326-3000 | |
Not Available |
Full Name | Leroy M Nill |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 200 15th Ave E, 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 |
---|---|---|---|
1407902042 | NPI | - | NPPES |
8421505 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00018699 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
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Leroy M Nill, MD Po Box 34584, Seattle, WA 98124-1584 Ph: (509) 241-7349 | Leroy M Nill, MD 200 15th Ave E, Seattle, WA 98112-5260 Ph: (206) 326-3000 |
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 |