Michael S Kennedy, MD | |
3901 Hoyt Ave, Everett, WA 98201 | |
(425) 339-5412 | |
(425) 259-1164 |
Full Name | Michael S Kennedy |
---|---|
Gender | Male |
Speciality | Allergy & Immunology |
Location | 3901 Hoyt Ave, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740224658 | NPI | - | NPPES |
111120483 | Other | WA | MEDICARE |
030004268 | Other | WA | MEDICARE RAILROAD |
030004279 | Other | WA | RAILROAD MEDICARE |
120835 | Other | WA | CIGNA DMERC |
030002415 | Other | WA | RAILROAD MEDICARE |
1005750 | Medicaid | WA | |
KE7883 | Other | WA | REGENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | MD00014525 (Washington) | Primary |
Entity Name | Optum Care Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Entity Name | Northwest Asthma & Allergy Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760620462 PECOS PAC ID: 6507759743 Enrollment ID: O20040209000462 |
Mailing Address | Practice Location Address |
---|---|
Michael S Kennedy, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 339-5412 | Michael S Kennedy, MD 3901 Hoyt Ave, Everett, WA 98201 Ph: (425) 339-5412 |
Ann M Wanner, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
James C Bommarito, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Paul T Mcbride, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Amy Brookman, PA-C Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 3125 Colby Ave Ste J, Everett, WA 98201 Phone: 425-791-3093 Fax: 425-791-3094 | |
August Jillian Generoso, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5412 Fax: 425-259-1164 |