Martin Proudfoot, MD | |
7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 | |
(425) 775-9474 | |
(425) 670-3554 |
Full Name | Martin Proudfoot |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7315 212th St Sw, Edmonds, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730261744 | NPI | - | NPPES |
1360205 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00016313 (Washington) | Primary |
Entity Name | Edmonds Family Medicine Clinic Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255736104 PECOS PAC ID: 3779471875 Enrollment ID: O20040309001440 |
Mailing Address | Practice Location Address |
---|---|
Martin Proudfoot, MD 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 Ph: (425) 775-9474 | Martin Proudfoot, MD 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 Ph: (425) 775-9474 |
Clifford John Johnson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7320 179th St Sw, Edmonds, WA 98026 Phone: 425-743-5160 Fax: 425-743-5160 | |
Joe M Skariah, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21911 76th Ave W, #110, Edmonds, WA 98026 Phone: 425-640-4950 Fax: 425-640-4958 | |
Louis P. Gianutsos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7315 212th St Sw Ste 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554 | |
Steven Koh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21600 Highway 99 Ste 280, Edmonds, WA 98026 Phone: 360-901-6355 | |
Michelle R Richards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23320 Highway 99, Edmonds, WA 98026 Phone: 425-640-5500 | |
Dr. Emmy Nakasu Davison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21911 76th Ave W, Suite 110, Edmonds, WA 98026 Phone: 425-640-4950 Fax: 425-640-4958 | |
Monica Kimberly Park, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7315 212th St Sw Ste 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554 |