Mark T Anderson, MD | |
1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 | |
(425) 745-4750 | |
(425) 745-6158 |
Full Name | Mark T Anderson |
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Gender | Male |
Speciality | Family Medicine |
Location | 1025 153rd St Se, Mill Creek, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316961659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00019962 (Washington) | Primary |
Entity Name | Mill Creek Family Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598806770 PECOS PAC ID: 8527099456 Enrollment ID: O20050830000667 |
Mailing Address | Practice Location Address |
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Mark T Anderson, MD 1025 153rd St Se, Ste 200, Mill Creek, WA 98012-4051 Ph: (425) 745-4750 | Mark T Anderson, MD 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 Ph: (425) 745-4750 |
Thuy Quynh Nguyen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1508 166th Pl Se, Mill Creek, WA 98012 Phone: 425-398-8554 | |
Dr. Mariel Liane Balboa, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 15418 Main St Ste 200, Mill Creek, WA 98012 Phone: 425-225-8000 Fax: 142-522-5802 | |
William W Bacon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 153rd St Se Ste 200, Mill Creek, WA 98012 Phone: 425-338-4000 Fax: 425-338-4090 | |
Laura Renee Sobieck, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16000 Bothell Everett Hwy Ste 240, Mill Creek, WA 98012 Phone: 425-224-3209 | |
Stephen Stewart Stukovsky, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 153rd St Se Ste 200, Mill Creek, WA 98012 Phone: 425-338-4000 | |
Dr. Christian Herter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 148th St Se, Mill Creek, WA 98012 Phone: 425-332-6948 Fax: 425-304-1102 |